Individual
DANA HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
196 WESTBROOKE CIR, PEMBROKE, KY 42266-8768
(270) 793-2432
Mailing address
196 WESTBROOKE CIR, PEMBROKE, KY 42266-8768
(270) 793-2432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
12/16/2022
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