Individual
MRS. SHONDRA SHANTEL HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-2057
(229) 257-2778
Mailing address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-2778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006303
GA
Other
Enumeration date
03/30/2020
Last updated
01/29/2025
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