Individual
ELIZABETH S HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
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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