Individual
GWENDOLYN A SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
(270) 782-9108
Mailing address
280 CUMBERLAND TRACE RD, APT. 325, BOWLING GREEN, KY 42103-9099
(270) 929-3386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3809
KY
Other
Enumeration date
12/27/2013
Last updated
05/28/2014
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