Individual
ELAINE CAROL HOFFMAN-FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5073 LAVISTA RD, TUCKER, GA 30084-3536
(770) 938-1688
Mailing address
1783 FAIROAKS PL, DECATUR, GA 30033-1450
(404) 281-8354
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000828
GA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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