OrganizationLeticia M Holleman(N/A)Social WorkerBehavioral Health & Social Service ProvidersPractice Address4411 Point Fosdick Dr Ste 307, Gig Harbor, WA 98335-1703(253) 851-3808(425) 903-1119PECOS EnrollmentBased on the most recent information from CMS, provider Leticia M Holleman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1548022254Provider TypeOrganizationFull NameLeticia M HollemanOther NameN/ASubpartNoEnumeration Date1/29/2024Last Updated2/26/2024Contact InformationPractice LocationPractice Address4411 Point Fosdick Dr Ste 307, Gig Harbor, WA 98335-1703Phone(253) 851-3808Fax(253) 851-3188Mailing LocationMailing Address14951 NW Seaview Dr, Seabeck, WA 98380-9755Phone(425) 903-1119FaxUnlisted FaxAuthorized OfficialNameHolleman, Leticia Marie (Licensed Clinical Social Worker)Phone(425) 903-1119Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer