Individual
MRS. SHARON B HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
280 MATTINGLY RD, VICKSBURG, MS 39180-7689
(601) 529-8913
(601) 661-8457
Mailing address
280 MATTINGLY RD, VICKSBURG, MS 39180-7689
(601) 529-8913
(601) 661-8457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5390
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05475070
—
MS
Enumeration date
09/25/2006
Last updated
06/15/2015
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