Individual
LARISSA JANE HOYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSE
Contact information
Practice address
1605 ADLER CIR STE A, PORTAGE, IN 46368-6414
(219) 762-3465
(219) 762-3163
Mailing address
1605 ADLER CIR STE A, PORTAGE, IN 46368-6414
(219) 762-3465
(219) 762-3163
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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