Individual
MADISON B HOLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MSW CANDIDATE
Contact information
Practice address
103 W MAIN ST, EVERSON, WA 98247-8217
(360) 935-0087
Mailing address
103 W MAIN ST, EVERSON, WA 98247-8217
(360) 935-0087
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
08/15/2024
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