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NPI Code Detail

MEDICARE: JENNIFER HOOYMAN

MEDICARE: JENNIFER HOOYMAN
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
11041C0700XClinical Social Worker25130MN

General Provider Information

NPI Number : 1376167056
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HOOYMAN
Provider Business Mailing Address
First Line : 10 IBIS PL
Second Line :
City : NORTH CAPE MAY
State : NJ
Zip : 08204-4400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3126 CLEVELAND ST NE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55418-2330
Country : US
Telephone Number : 609-602-4790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2020
Last Update Date : 05/29/2020

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