Doctor Name: | HOLLY HAMAN-MARCUM |
NPI Number: | 1003112178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSSW, LCSW |
License Number: | CSW-992106 |
Business Practice Address: | 1371 1/2 Rose Ave Burlington, CO - 808071601 |
Business Phone Number: | 7202310353 |
Business Fax Number: | |
Mailing Address: | Po Box 726, BURLINGTON |
State: | CO |
Postal Code: | 808070726 |
Phone Number: | 7202310353 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 06/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW-992106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |