Individual
KELLIE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
619 RIVERWOOD DR STE 105, BISMARCK, ND 58504-4304
(701) 224-9751
Mailing address
623 RAYMOND ST, BISMARCK, ND 58501-3440
(701) 426-9096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6423
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
OTHER
ND
Enumeration date
05/24/2022
Last updated
11/17/2023
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