Most Relevant Information
Provider Data
NPI Number: | 1003215757 |
Provider Name: | MALIA HOLBECK CSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 3075 |
Most Important Dates
Enumeration Date: | 08/19/2014 |
Last Updated: | 08/19/2014 |
Provider Practice Location
2412 S CLIFF AVE
STE 200
SIOUX FALLS
SD
571054031
Practice Location Phone/Fax
Phone: | 6053224079 |
Fax: |
Provider Mailing Location
PO BOX 5045
ATTN: PFS, PROV ENRLLMT
SIOUX FALLS
SD
571175045
Provider Mailing Phone/Fax
Phone: | 6053224079 |
Fax: |