MEDICARE: MRS. JULIE HOFFMAN GSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1326239831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIE HOFFMAN GSW

Provider Business Mailing Address
First Line	:	3330 W ESPLANADE AVE S
Second Line	:	SUITE 600
City	:	METAIRIE
State	:	LA
Zip	:	70002-3454
Country	:	US
Telephone Number	:	504-831-8475
Fax Number	:

Provider Business Practice Location Address
First Line	:	3330 W ESPLANADE AVE S
Second Line	:	SUITE 600
City	:	METAIRIE
State	:	LA
Zip	:	70002-3454
Country	:	US
Telephone Number	:	504-831-8475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	08/08/2007

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