Individual
JENNY BELLE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
24760 HOSPITAL DRIVE, RED LAKE, MN 56671
(218) 679-3316
Mailing address
PO BOX 93, REDLAKE, MN 56671-0093
(218) 679-3316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02572
MN
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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