Individual
GABRIELLE LEAH HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1200 MARQUETTE AVE, MINNEAPOLIS, MN 55403-2419
(952) 939-0396
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27308
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27308
N/A
—
Enumeration date
10/27/2021
Last updated
10/27/2021
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