Individual
CHARLES EDWIN HULSHOF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1 ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9907
(210) 292-6707
Mailing address
122 MOUNTRIDGE DR, SAN ANTONIO, TX 78228-1716
(210) 435-3203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04077
TX
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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