Individual
HOLLY GEANETTE BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
206 PAWNEE ST, JOHNSON CITY, TN 37604-1134
(423) 956-1669
Mailing address
206 PAWNEE ST, JOHNSON CITY, TN 37604-1134
(423) 956-1669
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10215
TN
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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