Individual
CONNIE HOLLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
807 W APACHE ST, FARMINGTON, NM 87401-5527
(505) 325-5358
(505) 327-1482
Mailing address
807 W APACHE ST, FARMINGTON, NM 87401-5527
(505) 325-5358
(505) 327-1482
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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