Individual
LISA HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 888-5305
Mailing address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 888-5305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26459
MN
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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