Holly Justine Lastine, LCSW, LICSW
NPI #1720600547 in Fridley, Minnesota
Provider Information
- NPI Number
- 1720600547
- Entity Type
- Individual
- Name
- Holly Justine Lastine, LCSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, LICSW
- Enumeration Date
- May 14, 2020
- Last Updated
- Jun 27, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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