Individual
SHARONDA TUNSTULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5600 GREENBLUFF RD APT 202, LOUISVILLE, KY 40219-2498
(502) 716-4461
Mailing address
5600 GREENBLUFF RD APT 202, LOUISVILLE, KY 40219-2498
(502) 716-4461
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256900
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07674388
—
KY
Enumeration date
07/19/2022
Last updated
07/19/2022
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