Individual
TRAVIS SCOTT HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 552-1222
(208) 552-3377
Mailing address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 552-1222
(208) 552-3377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-30115
ID
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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