Mary Marrs Holmes, LSW
Counselor, Addiction (Substance Use Disorder) in Robbinsdale, MN. Individual provider (NPI-1).
NPI number1386828093
StatusActive
Last updated in NPPESDec 18, 2007
Details
- NPI
- 1386828093
- Entity type
- Individual (NPI-1)
- Name
- Mary Marrs Holmes
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2007
- Last updated
- Dec 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 300138 | MN | Yes |
| 104100000X | Social Worker | 2077 | MN |
Practice location
3300 Oakdale Ave NRobbinsdale, MN 55422-2926
Phone 763-520-5470 · Fax 763-520-7562
Mailing address
3300 Oakdale Ave NRobbinsdale, MN 55422-2926
Phone 763-520-5470 · Fax 763-520-7562
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