Individual
MRS. TERESA BAKER HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(817) 730-0109
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(817) 730-0109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
35093
TX
Other
Enumeration date
05/16/2006
Last updated
06/05/2012
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