Individual
MRS. CAROL SUE COSTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
927 SIBERT CIR, GLENCOE, AL 35905-9681
(256) 413-0424
Mailing address
927 SIBERT CIR, GLENCOE, AL 35905-9681
(256) 413-0424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1367A
AL
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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