Individual
CAROLINE ALISSE HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1435 OGLETHORPE AVE, ATHENS, GA 30606-2135
(706) 549-7755
Mailing address
1435 OGLETHORPE AVE, ATHENS, GA 30606-2135
(706) 549-7755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW006930
LCSW
GA
Enumeration date
07/14/2020
Last updated
07/14/2020
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