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Individual

MS. JULIE ANN HOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BHRS

Contact information

Practice address
34183 COUNTRY CLUB LN, POTEAU, OK 74953-9122
(918) 649-7641
Mailing address
6811 S U CT, FORT SMITH, AR 72903-4013
(479) 806-1605

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/03/2011
Last updated
10/03/2011
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