Individual
DORA HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2019 RESERVE PKWY, MCDONOUGH, GA 30253-7434
(470) 332-7613
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(470) 332-7613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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