Gustafson, Tracy Michelle

Gustafson, Tracy Michelle is an individual health care provider with primary practice located at 1803 Whites Rd Suite 5, Kalamazoo MI 49008-2883. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gustafson, Tracy Michelle can be contacted via phone (269) 345-5776.

Contact Information

Primary practice address
1803 Whites Rd Suite 5 Kalamazoo MI 49008-2883
Phone: (269) 345-5776
Fax: (269) 345-4011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801080472 Michigan

Profile Details

NPI number 1508832056
LBN Legal business name Gustafson, Tracy Michelle
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Feb 26th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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