Individual
HOLLY NISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
510 29 1/2 RD, GRAND JUNCTION, CO 81504-5383
(970) 248-2875
Mailing address
2848 ORCHARD AVE, GRAND JUNCTION, CO 81501-4991
(970) 234-0503
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
NLC.0106452
CO
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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