Individual
DEIRDRA LYNN HOOLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13110 37TH AVE N, PLYMOUTH, MN 55441-1135
(612) 386-2661
Mailing address
13110 37TH AVE N, PLYMOUTH, MN 55441-1135
(612) 386-2661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15141
MN
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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