Individual
LACEY A HOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-SLP
Contact information
Practice address
742 STERBENZ DR, AVANTI CENTER INC, HUDSON, WI 54016-8327
(715) 386-2128
Mailing address
749 10TH ST N, HUDSON, WI 54016-2345
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3276-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3276
STATE OF WISCONSIN
WI
01
—
3276-154
TEMP LICENSE
WI
Enumeration date
08/04/2009
Last updated
06/13/2011
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