Individual
KATELYN HOFBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(800) 482-8305
Mailing address
PO BOX 275, GOWRIE, IA 50543-0275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
Enumeration date
06/27/2022
Last updated
08/12/2022
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