Individual
LASHAYIA HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
780 W 79TH AVE, MERRILLVILLE, IN 46410-5419
(219) 214-6889
Mailing address
780 W 79TH AVE, MERRILLVILLE, IN 46410-5419
(219) 214-6889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010524A
IN
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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