Individual
LISA SHERRY IMHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
126852
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15326-132
WI
1041C0700X
Clinical Social Worker
Primary
7910-123
WI
Other
Enumeration date
05/18/2011
Last updated
07/09/2019
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