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Individual

KATHY HOOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SAC-IT

Contact information

Practice address
23 W SCOTT ST, FOND DU LAC, WI 54935-2342
(920) 926-0101
(920) 926-0060
Mailing address
165 8TH ST, FOND DU LAC, WI 54935-5153
(920) 904-2855

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18866-130
WI

Other

Enumeration date
05/15/2019
Last updated
05/15/2019
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