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Individual

TODD ROBERT HOLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW LCSW

Contact information

Practice address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(920) 835-5500
(920) 835-5510
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 433-3630
(920) 437-0533

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7125123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40908500
WI
01
7125123
LICENSE
WI
Enumeration date
09/17/2006
Last updated
03/11/2016
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