Anna Marie Gustafson-clum LMSW

NPI 1750677811 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1750677811
Gender Female
Enumeration Date 06/27/2011
Last Updated 06/27/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
2535 LONE STAR DR
DALLAS TX, 75212-6313, US
Phone (469) 533-2886
Fax (214) 533-2886
Business Location
2535 LONE STAR DR
DALLAS TX, 75212-6313, US
Phone (469) 533-2886
Fax (214) 533-2886
Toxanomy
Taxonomy Code 171M00000X
License State Texas
License Number 37038
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According to our database, Ms. Anna Marie Gustafson-clum LMSW NPI is 1750677811, taxonomy code is 171M00000X and license number is 37038, license state is located at Texas. Anna Marie Gustafson-clum LMSW physically located at 2535 Lone Star Dr, Dallas TX, 75212-6313. NPI Number Anna Marie Gustafson-clum LMSW has the Individual type.

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1750677811 NPI number is provided on an as is basis without warranty of any kind. 1750677811 is maintained by the National Plan & Provider Enumeration System. The contents of Anna Marie Gustafson-clum LMSW are for informational purposes only.