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Individual
TIFANI JOHANNA HOLLOWAY
Active
Individual
TIFANI JOHANNA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8041879-3502
UT
1041C0700X
Clinical Social Worker
Primary
8041879-3501
UT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/17/2012
Last updated
08/27/2024
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