Individual
MS. K. JANEL HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1801 GLOUCESTER ST, SUITE C-103, BRUNSWICK, GA 31520-6934
(912) 275-8594
Mailing address
PO BOX 3175, BRUNSWICK, GA 31521-3175
(912) 275-8594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003687
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW003687
STATE LICENSE
GA
Enumeration date
11/09/2007
Last updated
04/01/2014
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