Individual
WALTER SHERARD HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
202 OLDE HICKORY CIR, BONAIRE, GA 31005-3496
(478) 225-2508
Mailing address
1745 PHOENIX BLVD STE 240, ATLANTA, GA 30349-5534
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC007848
GA
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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