Amy Hultman Lcsw PLLC
Social Worker, Clinical in Rockford, IL. Organization (NPI-2).
NPI number1255987897
StatusActive
Last updated in NPPESMay 1, 2023
Details
- NPI
- 1255987897
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy Hultman Lcsw PLLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2019
- Certification date
- May 1, 2023
- Last updated
- May 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
6723 Weaver RdSte 107
Rockford, IL 61114-8021
Phone 815-621-1930
Mailing address
6723 Weaver RdSte 107
Rockford, IL 61114-8021
Phone 815-621-1930
Authorized official
Amy Hultman
Owner
8156211930
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