Individual
MS. CYNTHIA ELLEN HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
I.M.F.T., L.P.N.
Contact information
Practice address
1178 POND VIEW DR, TROY, OH 45373-7611
(937) 524-4075
Mailing address
PO BOX 382, TROY, OH 45373-0382
(937) 524-4075
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
F1000009
OH
164W00000X
Licensed Practical Nurse
PN131155 MEDS
OH
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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