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NPI Code Detail

MEDICARE: ALISON HOLLIES LMSW

MEDICARE:   ALISON  HOLLIES  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801099791MI

General Provider Information

NPI Number : 1194193706
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON HOLLIES LMSW
Provider Business Mailing Address
First Line : PO BOX 655
Second Line :
City : EAST TAWAS
State : MI
Zip : 48730-0655
Country : US
Telephone Number : 989-305-1426
Fax Number :
Provider Business Practice Location Address
First Line : 402 W LAKE ST
Second Line :
City : TAWAS CITY
State : MI
Zip : 48763-9275
Country : US
Telephone Number : 989-305-1426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2015
Last Update Date : 12/01/2025

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