Individual
SHERRY HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3283 FAIRVIEW AVE, CRESTVIEW, FL 32539-9055
(850) 496-2640
Mailing address
3283 FAIRVIEW AVE, CRESTVIEW, FL 32539-9055
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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