Individual
URSULA ENCELL HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3075 N RESERVE ST STE Q, MISSOULA, MT 59808-1390
(406) 327-1850
(406) 327-1875
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-24462
MT
Other
Enumeration date
06/27/2017
Last updated
03/17/2018
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