Individual
ETHLYN HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S ACADEMY ST, GREENSBORO, MD 21639-1643
(410) 404-4625
Mailing address
PO BOX 29, GREENSBORO, MD 21639-0029
(410) 404-4625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
17713
MD
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
11/29/2023
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