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Individual

MS. HOLLY NOEL ESSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(701) 260-8874
Mailing address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(701) 260-8874
(623) 205-6515

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4725
ND
1041C0700X
Clinical Social Worker
Primary
LCSW-17447
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982945739
AZ
05
1982945739
ND
Enumeration date
03/04/2013
Last updated
10/29/2018
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