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Individual

MS. ANNA MARIE GUSTAFSON-CLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(469) 533-2886
(214) 533-2886
Mailing address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(469) 533-2886
(214) 533-2886

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
37038
TX

Other

Enumeration date
06/27/2011
Last updated
06/27/2011
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