| NPI | 1326601477 |
|---|---|
| Former Legal Business Name | ILYSSA HOFFMAN, LCSW, LLC |
| Entity Type | Organization |
| Authorized Contact | ILYSSA HOFFMAN MARKS Owner 813-318-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-04-12 |