MR. Stuart Randall Gustafson, LCSW

NPI #1871849406 in Orem, Utah

Provider Information

NPI Number
1871849406
Entity Type
Individual
Name
MR. Stuart Randall Gustafson, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 1, 2012
Last Updated
Aug 1, 2012

Practice Location

Address
1346 S 1220 W
City
Orem
State
Utah
ZIP Code
84058-2286
Phone
(801) 361-0050

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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