Individual
MR. ANTHONY JUSTIN SHULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 587-8833
(502) 589-8758
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
(502) 589-8745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34005140A
IN
1041C0700X
Clinical Social Worker
Primary
KY1176
KY
Other
Enumeration date
12/01/2006
Last updated
03/23/2021
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