Individual
LEAH HOLZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(763) 271-5333
Mailing address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
303719
MN
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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