Individual
MARY MARRS HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5470
(763) 520-7562
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5470
(763) 520-7562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300138
MN
104100000X
Social Worker
2077
MN
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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