Provider Demographics
NPI:1104929785
Name:HOFF-MCFARLANE, SALOME DYANE (MSW LCSW LGSW)
Entity type:Individual
Prefix:MRS
First Name:SALOME
Middle Name:DYANE
Last Name:HOFF-MCFARLANE
Suffix:
Gender:F
Credentials:MSW LCSW LGSW
Other - Prefix:MRS
Other - First Name:SALOME
Other - Middle Name:DYANE
Other - Last Name:HOFF-MCFARLANE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW LCSW LGSW
Mailing Address - Street 1:1228 7TH ST N
Mailing Address - Street 2:MOORHEAD
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560
Mailing Address - Country:US
Mailing Address - Phone:701-476-7816
Mailing Address - Fax:701-476-7293
Practice Address - Street 1:510 4TH ST S
Practice Address - Street 2:FARGO
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104
Practice Address - Country:US
Practice Address - Phone:701-476-7200
Practice Address - Fax:701-280-5795
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND35261041C0700X
MN152791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical