Individual
JUDY GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6221 GEARY BLVD, SAN FRANCISCO, CA 94121-1821
(415) 386-6600
Mailing address
1010 GOUGH ST, SAN FRANCISCO, CA 94109-7622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSC 19564
CA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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