Individual
MR. /STALBURN ANTHONY VANSLUYTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
200 TREASURE CAY DR, 2-303, FORT PIERCE, FL 34947-5336
(772) 579-7825
Mailing address
611 SW FEDERAL HWY, SUITE C, STUART, FL 34994-2925
(772) 579-7825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW4378
FL
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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