Individual
MRS. LORI L. HOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
1102 7TH AVE E, WILLISTON, ND 58801-4450
(701) 572-7262
Mailing address
PO BOX 2291, WILLISTON, ND 58802-2291
(701) 572-7262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2752
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74002
—
ND
Enumeration date
03/30/2007
Last updated
07/09/2007
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