Most Relevant Information
Provider Data
| NPI Number: | 1003588179 |
| Provider Name: | LAUREL CUSTER |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/28/2021 |
| Last Updated: | 01/11/2023 |
Provider Practice Location
1634 SLAUGHTER RD STE C
MADISON
AL
357585914
Practice Location Phone/Fax
| Phone: | 2568222375 |
| Fax: | 2565842330 |
Provider Mailing Location
251 JOHNSTON ST SE STE 100
DECATUR
AL
356012515
Provider Mailing Phone/Fax
| Phone: | 2568222375 |
| Fax: | 2565842330 |