Mona Marie Holloway, LCSW
Social Worker, Clinical in Gulfport, MS. Individual provider (NPI-1).
NPI number1003679549
StatusActive
Last updated in NPPESFeb 6, 2024
Details
- NPI
- 1003679549
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mona Marie Holloway
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2024
- Certification date
- Feb 5, 2024
- Last updated
- Feb 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | c10881 | MS | Yes |
Practice location
1520 29th Ave Ste 36Gulfport, MS 39501-2843
Phone 228-591-1442
Mailing address
15353 Winsor PlDiberville, MS 39540-3018
Phone 228-326-8315
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