Individual
MARY ALETHEA HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
1631 JANESVILLE AVE, FORT ATKINSON, WI 53538-2727
(920) 563-9375
(920) 563-9576
Mailing address
1631 JANESVILLE AVE, FORT ATKINSON, WI 53538-2727
(920) 563-9375
(920) 563-9576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4155-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39277500
—
WI
Enumeration date
07/18/2006
Last updated
10/17/2007
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