Organization
AMY HULTMAN LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HULTMAN LCSW (OWNER)
(815) 621-1930
Entity
Organization
Contact information
Practice address
6723 WEAVER RD, STE 107, ROCKFORD, IL 61114-8021
(815) 621-1930
Mailing address
6723 WEAVER RD, STE 107, ROCKFORD, IL 61114-8021
(815) 621-1930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
05/01/2023
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