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Individual

EDITH HURST SHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1724 UPPINGHAM DR, KNOXVILLE, TN 37918-2859
(865) 406-3636
Mailing address
DEPT 888182, KNOXVILLE, TN 37995-0001
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW782
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1507620
TN
Enumeration date
08/15/2008
Last updated
06/07/2019
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