JILL GUSTAFSON

DIAMOND SPRINGS, CA
NPI1427171099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  LCS15684)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
MS. JILL GUSTAFSON LCSW
493 MAIN ST
DIAMOND SPRINGS, CA 95619-9173
Phone number: 530-644-8013
Mailing Address
MS. JILL GUSTAFSON LCSW
493 MAIN ST
DIAMOND SPRINGS, CA 95619-9173
Phone number:
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