Individual
BILLY WAYNE HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 775-9150
Mailing address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 775-9150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
22478-C
AR
1041C0700X
Clinical Social Worker
Primary
4698
OK
Other
Enumeration date
03/27/2009
Last updated
04/19/2024
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