Individual
JANET K HULTGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
#2 MELGROVE STE 204, HANNIBAL, MO 63401
(573) 221-0102
(573) 221-0102
Mailing address
#2 MELGROVE STE 204, HANNIBAL, MO 63401
(573) 221-0102
(573) 221-0102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW001291
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107918
VALUE OPTIONS
—
01
—
177544
BLUE CROSS BLUE S
—
Enumeration date
02/26/2007
Last updated
07/21/2022
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