Individual
KELLY HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 322-5477
Mailing address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 322-5477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19959
MN
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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