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Individual
KELLY HULL
Active
Individual
KELLY HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178009412
IL
101YP2500X
Professional Counselor
Primary
180011054
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225285596
—
IL
Enumeration date
06/16/2016
Last updated
10/07/2019
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