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Individual

HOLLY E HOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7272 WURZBACH RD STE 706, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Mailing address
1319 FROST ST, GILMER, TX 75644-3127
(903) 841-1028

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55771
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55771
LICENSE
TX
Enumeration date
03/13/2019
Last updated
03/13/2019
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