Individual
JANE ELIZABETH HOFSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(516) 456-6571
Mailing address
1815 FOREST LAKE DR SE, GRAND RAPIDS, MI 49546-6289
(616) 430-4445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118613
MI
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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