Individual
MICHAEL ROSS HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
427 LINCOLN ST STE 1, LANDER, WY 82520-2831
(970) 846-0953
Mailing address
636 LINCOLN ST BLDG 2, LANDER, WY 82520-2732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1310
WY
Other
Enumeration date
06/05/2018
Last updated
09/04/2024
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