Most Relevant Information
Provider Data
| NPI Number: | 1003679549 |
| Provider Name: | MONA MARIE HOLLOWAY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | C10881 |
Most Important Dates
| Enumeration Date: | 02/06/2024 |
| Last Updated: | 02/06/2024 |
Provider Practice Location
1520 29TH AVE STE 36
GULFPORT
MS
395012843
Practice Location Phone/Fax
| Phone: | 2285911442 |
| Fax: |
Provider Mailing Location
15353 WINSOR PL
DIBERVILLE
MS
395403018
Provider Mailing Phone/Fax
| Phone: | 2283268315 |
| Fax: |