Individual
MARK HOHENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
36100 GENESEE LAKE RD, OCONOMOWOC, WI 53066-9201
(262) 569-5515
Mailing address
W348N5160 ELM AVE, OKAUCHEE, WI 53069-9757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2091-120
WI
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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