Individual
ELIZABETH ELLEN HOLMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2430 ESTANCIA BLVD STE 106, CLEARWATER, FL 33761-2607
(651) 472-3019
Mailing address
8301 SOLANO BAY LOOP APT 1716, TAMPA, FL 33635-9400
(651) 472-3019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/21/2020
Last updated
02/28/2023
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