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Individual

MRS. DIANE RITA HULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
9077 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(301) 891-5586
(301) 891-5596
Mailing address
9077 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(301) 891-5586
(301) 891-5596

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04600
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6802419 00
MD
05
6802419 01
MD
Enumeration date
08/31/2007
Last updated
08/31/2007
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