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Individual

PAMELA HOLLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5412 BOULDER HWY, LAS VEGAS, NV 89122-6039
(702) 291-2171
Mailing address
8512 ARCO IRIS LN, LAS VEGAS, NV 89128-7951
(704) 692-9596

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
7420-C
NV
1041C0700X
Clinical Social Worker
Primary
C008008
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6009224
NC
Enumeration date
08/14/2007
Last updated
02/28/2017
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