Individual
MRS. ARDYTH HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
250 WATER STONE CIR, JOLIET, IL 60431-8313
(815) 740-4104
Mailing address
250 WATER STONE CIR, JOLIET, IL 60431-8313
(815) 740-4104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-010798
IL
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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