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NPI Code Detail

MEDICARE: MS. CAROLYN SUE HART-HULTS LCSW

MEDICARE: MS. CAROLYN SUE HART-HULTS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34000459AIN

General Provider Information

NPI Number : 1982898979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLYN SUE HART-HULTS LCSW
Provider Business Mailing Address
First Line : 484 E CARMEL DR
Second Line : SUITE 196
City : CARMEL
State : IN
Zip : 46032-2812
Country : US
Telephone Number : 317-332-9764
Fax Number :
Provider Business Practice Location Address
First Line : 5638 PROFESSIONAL CIR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-5042
Country : US
Telephone Number : 317-247-8900
Fax Number : 317-247-8935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2007
Last Update Date : 10/06/2014

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