Individual
SARA LEN GUSTASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 494-1098
Mailing address
113 E VAN DORN ST, POLK CITY, IA 50226-2160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095308
IA
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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