Individual
MR. DANIEL LEE HOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
15601 WILDROSE CT, NEW WINDSOR, MD 21776-7601
(410) 259-1013
Mailing address
15601 WILDROSE CT, NEW WINDSOR, MD 21776-7601
(410) 259-1013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09573
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100024852
APS
MD
01
—
527BCE
CARE FIRST MD PROVIDER
MD
01
—
5867595
AETNA PROVIDER
MD
01
—
68541203
CAREFIRST
MD
01
—
68541204
CAREFIRST
MD
01
—
K2800001
BLUE CHOICE PROVIDER
MD
01
—
R6290013
CAREFIRST
DC
Enumeration date
01/09/2007
Last updated
06/26/2008
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