Individual
MR. MAX HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1450 N COUNTY ROAD 2050 E, CARTHAGE, IL 62321-3551
(217) 357-2173
Mailing address
1450 N COUNTY ROAD 2050 E, CARTHAGE, IL 62321-3551
(217) 357-2173
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15016082
IL
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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