| Jennifer C Duster Licsw Pip Llc | |
|
44 Hughes Rd Ste 1050 Madison AL 35758-3046 | |
| (256) 631-7898 | |
| (256) 542-3366 |
| Full Name | Jennifer C Duster Licsw Pip Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 44 Hughes Rd Ste 1050, Madison, Alabama |
| Authorized Official Name and Position | Jennifer Duster (OWNER) |
| Authorized Official Contact | 2566317898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer C Duster Licsw Pip Llc 44 Hughes Rd Ste 1050 Madison AL 35758-3046 Ph: (256) 631-7898 | Jennifer C Duster Licsw Pip Llc 44 Hughes Rd Ste 1050 Madison AL 35758-3046 Ph: (256) 631-7898 |
| NPI Number | 1376285072 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376285072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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