DAVID GUSTAFSON

ANDERSON, SC
NPI1952471989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: SC  LPC-4553)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
-- DAVID GUSTAFSON
200 MCGEE RD
ANDERSON, SC 29625-2104
Phone number: 864-260-2220
Mailing Address
-- DAVID GUSTAFSON
200 MCGEE RD
ANDERSON, SC 29625-2104
Phone number: 864-260-2220
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