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Individual
MICHELE HOLLOBAUGH
Active
Individual
MICHELE HOLLOBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S 0700681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S 0700681
STATE LICENSE
OH
Enumeration date
05/11/2016
Last updated
05/11/2016
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