NPI 1003588179
Laurel Custer
Practice location
- Address
- 1634 Slaughter Rd STE C, Madison, AL 35758-5914
- Phone
- (256) 822-2375
- Fax
- (256) 584-2330
- Mailing address
- 251 Johnston St SE STE 100, Decatur, AL 35601-2515
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1003588179
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Sep 2021
- Record last updated
- 11 Jan 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.