Individual
MRS. CHARLOTTE H SHULER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
10584 NW AZALEA ST, BRISTOL, FL 32321-3367
(850) 643-5551
(850) 643-3446
Mailing address
PO BOX 1120, BRISTOL, FL 32321-1120
(850) 643-5551
(850) 643-3446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 2669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20994
CHP, TALLAHASSEE, FL
FL
05
—
210416400
—
FL
01
—
Z4922
BCBS-BRISTOL, FL
FL
01
—
Z8243
BCBS-TALLAHASSEE, FL
FL
Enumeration date
05/12/2007
Last updated
07/08/2007
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