Most Relevant Information
Provider Data
| NPI Number: | 1003470147 |
| Provider Name: | KATIA E. CUSTER LCSW, MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CSW02800 |
Most Important Dates
| Enumeration Date: | 04/24/2019 |
| Last Updated: | 08/10/2022 |
Provider Practice Location
42 VALLEY RD
MIDDLETOWN
RI
028426400
Practice Location Phone/Fax
| Phone: | 4012361873 |
| Fax: |
Provider Mailing Location
127 JOHNNY CAKE HILL RD
MIDDLETOWN
RI
028425674
Provider Mailing Phone/Fax
| Phone: | 4012361873 |
| Fax: |