Individual
MS. HOLLY AMELIA DAHLSEID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 708-7213
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 708-7213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4228
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4228
BOARD OF SOCIAL WORK
ND
Enumeration date
12/28/2007
Last updated
01/22/2013
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