Individual
MS. DESHISHA R. HOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 24722, LAKELAND, FL 33802-4722
(813) 402-8780
Mailing address
PO BOX 24722, LAKELAND, FL 33802-4722
(813) 402-8780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LICSW126772
MA
1041C0700X
Clinical Social Worker
Primary
SW 7756
FL
Other
Enumeration date
11/11/2009
Last updated
08/09/2024
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