Individual
KENNETH LEE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
214 S BRIDGE ST STE C, GRAND LEDGE, MI 48837-1587
(810) 772-4351
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011111
MI
Other
Enumeration date
10/02/2006
Last updated
08/06/2019
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