Individual
TERESE HOFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 996-1500
Mailing address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 996-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8811
SC
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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