Individual
KESHA LORRAINE HOLST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 330-5621
Mailing address
222 PARK RD, STAPLES, MN 56479-3312
(218) 330-5621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22473
MN
Other
Enumeration date
07/11/2017
Last updated
11/28/2022
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