Andrea Gustafson

NPI #1407095011 in Des Moines, Iowa

Provider Information

NPI Number: 1407095011
Entity Type: Individual
Name: Andrea Gustafson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 5, 2009
Last Updated: Sep 30, 2013

Practice Location

Address: 3115 DOUGLAS AVE
City: Des Moines
State: Iowa
ZIP Code: 50310-5307
Phone: (515) 235-4720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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