Individual
PATRICK MICHAEL HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W., LISW-CP
Contact information
Practice address
1565 EBENEZER RD, SUITE 134, ROCK HILL, SC 29732
(803) 370-9084
Mailing address
1565 EBENEZER RD STE 134, ROCK HILL, SC 29732-2494
(803) 370-9084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018653
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12669261
CAQH
—
Enumeration date
11/15/2013
Last updated
01/30/2020
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