Individual
MALLORY HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
Mailing address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10839
KS
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
03/24/2022
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