Most Relevant Information
Provider Data
| NPI Number: | 1003820614 |
| Provider Name: | EILEEN LOUISE HOLMAN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 26138 |
Most Important Dates
| Enumeration Date: | 07/28/2006 |
| Last Updated: | 04/05/2011 |
Provider Practice Location
6586 AMBROSIA DRIVE
#5204
SAN DIEGO
CA
92124
Practice Location Phone/Fax
| Phone: | 8585429393 |
| Fax: |
Provider Mailing Location
8810 RIO SAN DIEGO DRIVE
VA MISSION VALLEY OUTPATIENT CLINIC
SAN DIEGO
CA
92108
Provider Mailing Phone/Fax
| Phone: | 6194005243 |
| Fax: |