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Individual

PATRICIA T HULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
802 KENYON RD, UNITYPOINT AT HOME, FORT DODGE, IA 50501-5740
(515) 574-6416
Mailing address
802 KENYON RD, UNITYPOINT AT HOME, FORT DODGE, IA 50501-5740
(515) 574-6416

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01447
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0159608
IA
01
07466
WELLMARK BCBS
IN
01
10852
MIDLANDS CHOICE
IN
Enumeration date
10/17/2006
Last updated
12/04/2014
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