Individual
JOYCE MCCUSTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
934 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5326
(434) 923-8300
Mailing address
934 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5326
(434) 923-8300
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
2156
VA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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