Individual
MRS. LARI K HOLLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3330 E LOUISE DR STE 400, MERIDIAN, ID 83642-5123
(208) 381-2138
Mailing address
3330 E LOUISE DR STE 400, MERIDIAN, ID 83642-5123
(208) 381-2138
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-29502
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-32625
ID
Other
Enumeration date
09/18/2009
Last updated
09/23/2021
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