Individual
TAYLOR HOLSONBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(866) 729-4479
Mailing address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(866) 729-4479
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A1810149
AR
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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