Individual
MRS. MONA MARIE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1520 29TH AVE STE 36, GULFPORT, MS 39501-2843
(228) 591-1442
Mailing address
15353 WINSOR PL, DIBERVILLE, MS 39540-3018
(228) 326-8315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C10881
MS
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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