Holly K Triestram is a Clinical in Okemos, Michigan. Holly K Triestram practices all healthcare services and medical treatments related to Clinical. The NPI Number for Holly K Triestram is 1477684744. The last update date is 2007-07-08.
Holly K Triestram's current location address is 4303 Tacoma Blvd, Okemos, Michigan. You can contact this provider via phone number 5172815296. The mailing address for Holly K Triestram is 4303 Tacoma Blvd, Okemos, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly K Triestram |
|---|---|
| Address | 4303 Tacoma Blvd, Okemos, Michigan |
| Phone Number | 5172815296 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1477684744 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4303 Tacoma Blvd |
|---|---|
| City | Okemos |
| State | Michigan (MI) |
| Post Code | 488642700 |
| Phone Number | 5172815296 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique provider identifier assigned to Holly K Triestram?
The Holly K Triestram has been issued the NPI (National Provider Identifier) 1477684744 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Holly K Triestram?
The Holly K Triestram is situated at 4303 Tacoma Blvd, in the city of Okemos, state of MI, with the zip code 488642700.
What is the area of specialization for Holly K Triestram, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Holly K Triestram is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Holly K Triestram receive its 1477684744 assignment from the Centers for Medicare & Medicaid Services?
The Holly K Triestram was assigned its 1477684744 by the Centers for Medicare & Medicaid Services on 2007-03-08.
When was the information regarding Holly K Triestram most recently updated?
The details pertaining to the Holly K Triestram, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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