Individual
MRS. PHYLLIS W HOLLANDSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1340 RIDGEWOOD AVE, HOLLY HILL, FL 32117-2320
(386) 676-7100
(386) 676-7125
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7100
(386) 676-7125
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1581
FL
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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