Individual
JANET L HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3554
(541) 677-5815
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3554
(541) 677-5815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2876
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500646716
—
OR
Enumeration date
10/04/2006
Last updated
08/13/2012
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