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Individual

AUBRIE CUSTRED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3811 OLD SHELL RD BLDG 1, MOBILE, AL 36608-1317
(251) 625-0118
Mailing address
5509 LAKEWOOD CIR, SARALAND, AL 36571-9787

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
405
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
06/16/2022
Last updated
06/16/2022
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