Individual
GABRIELLE TALIAFERRO HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMSW, LICSW
Contact information
Practice address
114 ADRIS PL STE B, DOTHAN, AL 36303-1997
(334) 489-5270
Mailing address
94 RED CLOUD RD, FORT RUCKER, AL 36362-2322
(470) 497-9935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
253447
KY
1041C0700X
Clinical Social Worker
Primary
5856C
AL
1041C0700X
Clinical Social Worker
CSW.09928844
CO
Other
Enumeration date
11/16/2015
Last updated
09/13/2024
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