Individual
AMY L HOFFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 RENATA CT, DEFOREST, WI 53532-1364
(608) 347-5551
Mailing address
125 RENATA CT, DEFOREST, WI 53532-1364
(608) 347-5551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18721-130
WI
1041C0700X
Clinical Social Worker
Primary
9481-123
WI
Other
Enumeration date
06/28/2011
Last updated
09/20/2021
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