Individual
KIMBERLY HULTIN-AMIDEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
101 PARK AVE, OKLAHOMA CITY, OK 73102-7209
(323) 205-7088
(833) 419-0181
Mailing address
PO BOX 746878, ATLANTA, GA 30374-6878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
10562
SC
1041C0700X
Clinical Social Worker
44SC06418500
NJ
1041C0700X
Clinical Social Worker
Primary
7912
OK
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/01/2012
Last updated
05/19/2025
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