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Individual
PATRICIA HOLLOWAY
Active
Individual
PATRICIA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0904005219
VA
101YP2500X
Professional Counselor
0904005219
VA
1041C0700X
Clinical Social Worker
Primary
0904005219
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659424448
—
VA
Enumeration date
12/14/2006
Last updated
08/20/2009
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