Individual
DARENDA JANECE MARIE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 N 118TH CT, MILWAUKEE, WI 53225-3085
(414) 296-5426
Mailing address
2450 N 36TH ST, MILWAUKEE, WI 53210-3039
(414) 885-8873
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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