Individual
ELIZABETH S HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5709
Mailing address
905 N WILLOW CT, OAK GROVE, MO 64075-5126
(816) 288-2592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019022743
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490077430
—
MO
Enumeration date
10/08/2019
Last updated
10/03/2022
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