Individual
ANNEKE BRITT GUSTAFSON
Active
Individual
ANNEKE BRITT GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
007134
IA
1041C0700X
Clinical Social Worker
Primary
007134
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107314000
IOWA PLAN
IA
Enumeration date
10/10/2008
Last updated
04/11/2024
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