Fayne Custis
NPI #1215696323 in Greencastle, Indiana
Provider Information
- NPI Number
- 1215696323
- Entity Type
- Individual
- Name
- Fayne Custis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Dec 16, 2021
- Last Updated
- Dec 16, 2021
Practice Location
- Address
- 2 E BERRY ST
- City
- Greencastle
- State
- Indiana
- ZIP Code
- 46135-1901
- Phone
- (765) 655-4737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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