Daniel Robert Holstead

NPI #1104977057 in Green Bay, Wisconsin

Provider Information

NPI Number: 1104977057
Entity Type: Individual
Name: Daniel Robert Holstead
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 130 E WALNUT ST
Address 2: SUITE 706
City: Green Bay
State: Wisconsin
ZIP Code: 54301-4239
Phone: (920) 437-8256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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