Individual
MRS. GLORIA TEMPLE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LSW, LMFT
Contact information
Practice address
4579 S EASON BLVD, TUPELO, MS 38801-6539
(662) 377-2865
(662) 377-2844
Mailing address
247 OLD PLANTERS RD, PLANTERSVILLE, MS 38862-6200
(662) 377-2865
(662) 377-2844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
W0111
MS
106H00000X
Marriage & Family Therapist
Primary
T0068
MS
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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