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Individual

MR. STEPHEN M. HOFFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-1044
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-1044

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
7147-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40958000
WI
Enumeration date
05/21/2008
Last updated
05/21/2008
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