DEANNE MARIE GUSTAFSON

LA GRANGE, IL
NPI1104423409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: IL  1884039)
Enumeration Date2020-10-08
Last Update Date2020-10-08
Business Address
DEANNE MARIE GUSTAFSON
1301 W COSSITT AVE
LA GRANGE, IL 60525-2145
Phone number: 708-354-5730
Mailing Address
DEANNE MARIE GUSTAFSON
17200 TEAKWOOD DR
TINLEY PARK, IL 60487-5406
Phone number: 708-536-8874