Individual
KIM HULSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19 LESTER RD, STATESBORO, GA 30458-2119
(912) 662-6501
(912) 681-1012
Mailing address
19 LESTER RD, STATESBORO, GA 30458-2119
(912) 662-6501
(912) 681-1012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000778
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00957877A
—
GA
Enumeration date
11/11/2006
Last updated
11/15/2018
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