Provider Demographics
NPI:1679831945
Name:HUNT, HILARY RENAE
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:RENAE
Last Name:HUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 E SHAWNEE TER
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-3033
Mailing Address - Country:US
Mailing Address - Phone:918-822-2824
Mailing Address - Fax:
Practice Address - Street 1:417 E SHAWNEE TER
Practice Address - Street 2:
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-3033
Practice Address - Country:US
Practice Address - Phone:918-822-2824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker