Individual
DONISHA SHAWNETTA HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2740 PROSPERITY AVE STE 300, FAIRFAX, VA 22031-4354
(571) 623-3438
Mailing address
100 BROADLEAF DR, JACKSONVILLE, NC 28546-4501
(252) 267-2457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015403
VA
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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