Provider Demographics
NPI:1639461528
Name:HOHL, JAMIE (SWIT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:HOHL
Suffix:
Gender:F
Credentials:SWIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:BARABOO
Mailing Address - State:WI
Mailing Address - Zip Code:53913-2372
Mailing Address - Country:US
Mailing Address - Phone:608-477-9858
Mailing Address - Fax:608-742-3636
Practice Address - Street 1:708 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913-2372
Practice Address - Country:US
Practice Address - Phone:608-477-9858
Practice Address - Fax:608-742-3636
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1778-127104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker