NPI 1003679549

Mona Marie Holloway, LCSW

Practitioner Clinical Social Worker Gulfport, MS

Practice location

Address: 1520 29th Ave STE 36, Gulfport, MS 39501-2843
Phone: (228) 591-1442
Mailing address: 15353 Winsor Pl, Diberville, MS 39540-3018

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C10881 (MS)

Other Social Worker providers in Mississippi →

Registry record

NPI: 1003679549
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2024
Record last updated: 6 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.