EILEEN GUSTAFSON LCSW PA

TAMPA, FL
NPI1396933446
Entity TypeOrganization
Authorized ContactEILEEN GUSTAFSON
Owner/Therapist
352-428-8463
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: FL  LCSW 6283)
Enumeration Date2007-10-12
Last Update Date2008-08-12
Business Address
EILEEN GUSTAFSON LCSW PA
10335 CROSS CREEK BLVD SUITE 23
TAMPA, FL 33647-2795
Phone number: 352-428-8463
Mailing Address
EILEEN GUSTAFSON LCSW PA
PO BOX 5797
SPRING HILL, FL 34611-5797
Phone number: 352-428-8463
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