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Individual

EBONY L HOLLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
271 W TULPEHOCKEN ST, PHILADELPHIA, PA 19144-3209
(240) 308-1814
Mailing address
271 W TULPEHOCKEN ST, PHILADELPHIA, PA 19144-3209
(240) 308-1814

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021990
PA

Other

Enumeration date
10/05/2022
Last updated
10/05/2022
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