Individual
MARY ADELE HOLLENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
70 N MAIN ST STE 104, BOUNTIFUL, UT 84010-6115
(801) 298-5222
Mailing address
70 N MAIN ST STE 104, BOUNTIFUL, UT 84010-6115
(801) 298-5222
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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