Individual
LEEANNA HOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 PROFESSIONAL PARK DR, LOUISA, KY 41230-9644
(606) 356-0129
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
258055
KY
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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