Individual
SANDRA HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
338 WHITEOAKS DR NE, ALBUQUERQUE, NM 87122-1411
(505) 249-6156
Mailing address
338 WHITEOAKS DR NE, ALBUQUERQUE, NM 87122-1411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08490
NM
Other
Enumeration date
11/03/2013
Last updated
11/03/2013
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