Individual
MRS. MARY KATHLEEN HOLTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1013 ADAMS ST, OTTAWA, IL 61350-4304
(815) 434-0857
Mailing address
2335 E. 18TH RD, GRAND RIDGE, IL 61325
(815) 249-6886
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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