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1851717649
KENNETH SHULTS
LAWRENCEVILLE, GA
NPI
1851717649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-03-17
Last Update Date
2014-03-17
Business Address
-- KENNETH SHULTS R.N.
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
-- KENNETH SHULTS R.N.
2053 POWERS FERRY RD SE APT. D
MARIETTA, GA 30067-9675
Phone number: 904-534-4725
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