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1811907454
ROBERT A GUSTAFSON
FORT WORTH, TX
NPI
1811907454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 21795)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Mr. ROBERT A GUSTAFSON LCSW
2707 AIRPORT FWY STE 225
FORT WORTH, TX 76111-2370
Phone number: 817-937-7417
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Mailing Address
Mr. ROBERT A GUSTAFSON LCSW
6107 AMICABLE DR
ARLINGTON, TX 76016-2003
Phone number: 817-937-7417
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