Individual
MS. LE EDNA MARIE CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4525 N GRANITE REEF RD, SCOTTSDALE, AZ 85251-1719
(480) 484-2607
(480) 484-2601
Mailing address
PO BOX 6041, CAREFREE, AZ 85377
(480) 575-8544
(480) 575-8299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
579568
AHCCS
AZ
Enumeration date
01/18/2007
Last updated
07/26/2007
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