Individual
KIMBERLY EVONNE HULETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1736 W GORDON ST, VALDOSTA, GA 31601-3017
(229) 262-7198
Mailing address
2004 CAROLYN TER, VALDOSTA, GA 31602-2102
(229) 834-1315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8470
GA
Other
Enumeration date
03/24/2023
Last updated
07/13/2023
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