Healthcare Provider Details

I. General information

NPI: 1811947013
Provider Name (Legal Business Name): CAROL E. CURB LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 MEDICAL CENTER PKWY
SELMA AL
36701-6780
US

IV. Provider business mailing address

921 COUNTY ROAD 564
VALLEY GRANDE AL
36701-0508
US

V. Phone/Fax

Practice location:
  • Phone: 334-875-2100
  • Fax: 334-418-6540
Mailing address:
  • Phone: 334-875-2100
  • Fax: 334-418-6540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1218C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: