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Individual

MS. CHRISTINE MARIE HOLSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-6820
Mailing address
555 TOWNER STREET, YPSILANTI, MI 48197-0915
(734) 544-6820

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801089334
MI
1041C0700X
Clinical Social Worker
Primary
6801089334
MI

Other

Enumeration date
05/11/2008
Last updated
06/12/2014
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