Individual
DONOVAN HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1934 OLD GALLOWS RD STE 210, VIENNA, VA 22182-4043
(571) 800-1105
Mailing address
5500 MING AVE STE 265, BAKERSFIELD, CA 93309-4689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013098
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904013098
LICENSE
VA
Enumeration date
07/29/2021
Last updated
09/15/2021
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