Individual
CORRINA LYNN HOLLOWAY-FACTORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20601 N 19TH AVE STE 100, PHOENIX, AZ 85027-2666
(888) 754-0398
Mailing address
20601 N 19TH AVE STE 100, PHOENIX, AZ 85027-2666
(888) 754-0398
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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