Individual
HOLLY D FEDELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7204 KNOLLWOOD DR, BILOXI, MS 39532-2910
(228) 297-2763
Mailing address
7204 KNOLLWOOD DR, BILOXI, MS 39532-2910
(228) 297-2763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C9126
MS
Other
Enumeration date
02/09/2022
Last updated
09/15/2022
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