Individual
HOLLY INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 FORDHAM RD, ALLSTON, MA 02134-3000
(617) 782-6460
Mailing address
148 ESSEX ST, MIDDLETON, MA 01949-1643
(978) 882-3183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440104
—
MA
Enumeration date
03/23/2022
Last updated
03/23/2022
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