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NPI Code Detail

MEDICARE: CAROLYN HOLMES LCSW

MEDICARE: CAROLYN HOLMES LCSW
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 WorkerLS 3433CA

General Provider Information

NPI Number : 1245419522
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN HOLMES LCSW
Provider Business Mailing Address
First Line : 17 E SIR FRANCIS DRAKE BLVD
Second Line :
City : LARKSPUR
State : CA
Zip : 94939-1727
Country : US
Telephone Number : 415-927-2273
Fax Number :
Provider Business Practice Location Address
First Line : 17 E SIR FRANCIS DRAKE BLVD
Second Line :
City : LARKSPUR
State : CA
Zip : 94939-1727
Country : US
Telephone Number : 415-927-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2007
Last Update Date : 11/02/2007

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Directions to “ CAROLYN HOLMES LCSW” Practice Location

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