Most Relevant Information
Provider Data
| NPI Number: | 1003071911 |
| Provider Name: | HOLLACE MERRILL BEER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | R-025826 |
Most Important Dates
| Enumeration Date: | 07/21/2008 |
| Last Updated: | 07/21/2008 |
Provider Practice Location
23 GRISSOM AVE
STATEN ISLAND
NY
103144908
Practice Location Phone/Fax
| Phone: | 7186986903 |
| Fax: |
Provider Mailing Location
23 GRISSOM AVE
STATEN ISLAND
NY
103144908
Provider Mailing Phone/Fax
| Phone: | 7186986903 |
| Fax: |