Individual
JENNIFER COOK DUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, PIP, LLC
Contact information
Practice address
44 HUGHES RD STE 1050, MADISON, AL 35758-3046
(256) 631-7898
(256) 542-3366
Mailing address
128 PAINTROCK ROAD, NEW HOPE, AL 35760
(256) 577-7754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1623-4181C
AL
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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