Individual
MS. GAIL ENID HOLDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
1201 89TH AVENUE NE, SUITE 375, BLAINE, MN 55434-1212
(763) 783-4990
(763) 783-4756
Mailing address
1201 89TH AVENUE NE, SUITE 375, BLAINE, MN 55434-1212
(763) 783-4990
(763) 783-4756
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108985
U CARE
MN
01
—
6204870
MEDICA INSURANCE
MN
01
—
BG155CE
BC BS
MN
Enumeration date
10/24/2006
Last updated
07/08/2007
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