MS. Jill Gustafson, LCSW

NPI #1427171099 in Diamond Springs, California

Provider Information

NPI Number: 1427171099
Entity Type: Individual
Name: MS. Jill Gustafson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 493 MAIN ST
City: Diamond Springs
State: California
ZIP Code: 95619-9173
Phone: (530) 644-8013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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