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Jennifer C. Duster, LICSW, PIP, LLC

Details

Name: Jennifer C. Duster, LICSW, PIP, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 Mar 2022 (3 years ago) (Companies founded in March 2022)
Entity Number: 001-011-906
Register Number: 001011906
ZIP code: 35760 (Companies in Madison, 35760)
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 128 Paintrock RoadNew Hope, AL 35760

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376285072 2022-04-12 2022-04-12 44 HUGHES RD STE 1050, MADISON, AL, 357583046, US 44 HUGHES RD STE 1050, MADISON, AL, 357583046, US

Contacts

Phone +1 256-631-7898
Fax 2565423366

Authorized person

Name JENNIFER DUSTER
Role OWNER
Phone 2566317898

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role
Duster, Jennifer C Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State