Individual
JACQUELYNN HOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(330) 758-4515
(330) 758-2862
Mailing address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(330) 758-4515
(330) 758-2862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004223
VA
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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