TARA GUSTAFSON

NEW LENOX, IL
NPI1952859712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.017985)
Enumeration Date2016-09-21
Last Update Date2016-09-21
Business Address
-- TARA GUSTAFSON L.C.S.W
830 WILLOWFIELD RD
NEW LENOX, IL 60451-1520
Phone number: 708-359-6686
Mailing Address
-- TARA GUSTAFSON L.C.S.W
830 WILLOWFIELD RD
NEW LENOX, IL 60451-1520
Phone number: 708-358-6686
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