Most Relevant Information
Provider Data
| NPI Number: | 1003225335 |
| Provider Name: | HOLLY SAGE MSW, APSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 10853-120 |
Most Important Dates
| Enumeration Date: | 08/12/2014 |
| Last Updated: | 08/12/2014 |
Provider Practice Location
2851 UNIVERSITY AVE
GREEN BAY
WI
543115855
Practice Location Phone/Fax
| Phone: | 9204312500 |
| Fax: |
Provider Mailing Location
2851 UNIVERSITY AVE
GREEN BAY
WI
543115855
Provider Mailing Phone/Fax
| Phone: | 9204312500 |
| Fax: |