Individual
CHARLES HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 PELHAM WOOD RD, PARKVILLE, MD 21234-5919
(410) 961-6402
Mailing address
1110 PELHAM WOOD RD, PARKVILLE, MD 21234-5919
(410) 961-6402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25689
MD
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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