Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1245547033 |
---|---|
Provider Name | Dr. Susan Laraine De Hoff |
First Address | Shrewsbury, MA 01545-1951 |
Second Address | Sudbury, MA 01776-1819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2010 |
Last Update Date | 03/01/2013 |