Individual
MRS. KATHLEEN HERRING HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 475-6253
(910) 867-8034
Mailing address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 475-6253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000007751
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LSW0000007751
VA
TN
Enumeration date
09/17/2020
Last updated
09/17/2020
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