Individual
CAPRICIA RENEE HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 CAMPUS RD, BROOKLYN, NY 11210-2153
(646) 659-2120
Mailing address
2901 CAMPUS RD, BROOKLYN, NY 11210-2153
(646) 659-2120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
090710-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
090710-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252Y00000X
—
NY
Enumeration date
05/25/2017
Last updated
05/25/2017
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