EILEEN GUSTAFSON
Social Work at Windbrook Ave, Brooksville, FL

License number
Florida 777
Issued Date
Oct 8, 1998
Effective Date
Jan 30, 2001
Expiration Date
Jan 31, 2001
Category
Health Care
Type
Registered Clinical Social Worker Intern
Address
Address
3235 Windbrook Ave, Brooksville, FL 34608
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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EILEEN GUSTAFSON LCSW PA

Tampa, FL  -  Brooksville, FL

Industry:
Business Services at Non-Commercial Site, Individual/Family Services, Nonclassifiable Establishments
Registration:
Jan 3, 2006
Addresses:
10347 Cross Crk Blvd SUITE B, Tampa, FL 33647 (Physical)
Spring Hill, FL 34611 (Mailing)
10335 Cross Crk Blvd, Tampa, FL 33647
3802 Ehrlich Rd, Tampa, FL 33624
PO Box 5797, Brooksville, FL 34611
State ID:
P06000000970
Business type:
Florida Profit Corporation
Secretary:
Eileen Gustafson (Secretary), 10335 Cross Crk Blvd SUITE 23, Tampa, FL 33647 (Physical)
Agent:
Gustafson, Eileen,10347 Cross Crk Blvd SUITE B, Tampa, FL 33647 (Physical)
EIN:
204102722

Social Work licenses in Florida