Tara Gustafson, L.C.S.W

NPI #1952859712 in New Lenox, Illinois

Provider Information

NPI Number
1952859712
Entity Type
Individual
Name
Tara Gustafson, L.C.S.W
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W
Enumeration Date
Sep 21, 2016
Last Updated
Sep 21, 2016

Practice Location

Address
830 WILLOWFIELD RD
ZIP Code
60451-1520
Phone
(708) 359-6686

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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