Individual
HOLLY H MOTHERSHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7335 E PALMER WASILLA HWY, PALMER, AK 99645-7710
(907) 745-6200
(907) 745-6211
Mailing address
4605 N ALMADEN DR, PALMER, AK 99645-8308
(907) 745-6200
(907) 745-6211
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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