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Individual
DR. GARY L HOFMAN
Active
Individual
DR. GARY L HOFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SDCCDCIII1051148
SD
101YM0800X
Mental Health Counselor
Primary
SDLPCMH2032
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4998512
BCBS
SD
05
—
6575260
—
SD
Enumeration date
12/27/2005
Last updated
05/06/2021
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