Individual
SAMUEL LAWRENCE HOLLEY
Active
Individual
SAMUEL LAWRENCE HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61210477
WA
2084P0800X
Psychiatry Physician
Primary
O-2013
ID
2084P0800X
Psychiatry Physician
OP61406164
WA
Other
Enumeration date
03/19/2019
Last updated
08/13/2024
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