Individual
MS. MARTHA L HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2727 MARSHALL CT, PSYCHIATRIC SERVICES, MADISON, WI 53705
(608) 238-7354
(608) 238-7675
Mailing address
2486 HILLPOINT RD, MC FARLAND, WI 53558
(608) 838-3969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
522123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39075500
—
WI
Enumeration date
07/13/2006
Last updated
11/20/2014
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