Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | KY |
NPI | 1003450826 |
---|---|
Provider Name | Aaron Christopher Slusher |
First Address | Lexington, KY 40511-1277 |
Second Address | Lexington, KY 40511-1277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2019 |
Last Update Date | 05/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1790731081 | (05) | KY |