EILEEN GUSTAFSON

TAMPA, FL
NPI1477545846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  6283)
Enumeration Date2005-08-22
Last Update Date2008-07-03
Business Address
Ms. EILEEN GUSTAFSON LCSW
10335 CROSS CREEK BLVD SUITE 23
TAMPA, FL 33647-2795
Phone number: 352-428-8463
Mailing Address
Ms. EILEEN GUSTAFSON LCSW
PO BOX 5797
SPRING HILL, FL 34611-5797
Phone number: 352-428-8463