Individual
CARRIE RENE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(844) 458-2100
(918) 205-2701
Mailing address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(844) 458-2100
(918) 205-2701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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