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1801375357
MISHLA LATICE HOLMAN
BRIDGETON, MO
NPI
1801375357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
MISHLA LATICE HOLMAN MSW
3165 MCKELVEY RD
BRIDGETON, MO 63044-2563
Phone number: 314-206-3900
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Mailing Address
MISHLA LATICE HOLMAN MSW
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103-2303
Phone number: 314-206-3700
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