Individual
REBECCA ANNE HOLSCLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
(TEMP) LSW
Contact information
Practice address
6331 CONSTITUTION DR, FORT WAYNE, IN 46804-1547
(260) 823-3100
Mailing address
6331 CONSTITUTION DR, FORT WAYNE, IN 46804-1547
(260) 823-3100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9912467A
IN
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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