Individual
MS. CLARA JEAN HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
3503 LATIMER DR, AUSTIN, TX 78732-2200
(512) 484-5358
Mailing address
3503 LATIMER DR, AUSTIN, TX 78732-2200
(512) 484-5358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2904
LA
1041C0700X
Clinical Social Worker
Primary
53158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2904
LOUISIANA LCSW LICENSE
LA
01
—
53158
TEXAS LCSW LICENSE
TX
Enumeration date
08/07/2009
Last updated
08/07/2009
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