Individual
MRS. DONNA JEAN HOLST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LAT
Contact information
Practice address
1221 W 5TH ST, SHERIDAN, WY 82801-2701
(307) 674-4405
Mailing address
1508 HILLPOND DR, SHERIDAN, WY 82801-2120
(307) 461-0412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW# 495
WY
Other
Enumeration date
05/08/2006
Last updated
05/17/2012
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