Individual
CAROL HOLLAND
Active
Individual
CAROL HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.H.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS007881L
PA
172V00000X
Community Health Worker
P6007881L
PA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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