Individual
MR. BRUCE ALLAN HOPPERSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-2080
(209) 468-2399
Mailing address
805 W WALNUT ST, LODI, CA 95240-3304
(209) 369-3038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 6093
CA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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