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Individual

JORDAN TYLER HOEFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
3837 E DALE AVE, CUDAHY, WI 53110-2304
(414) 892-0209
Mailing address
3837 E DALE AVE, CUDAHY, WI 53110-2304
(414) 892-0209

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9945-123
WI

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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