Individual
MS. LORI ANN HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1401 WABASH AVE, APT 1, MATTOON, IL 61938-4021
(217) 821-9145
Mailing address
1401 WABASH AVE, APT 1, MATTOON, IL 61938-4021
(217) 821-9145
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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