Individual
DESAREE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13185 OLD NASHVILLE HWY APT 405, SMYRNA, TN 37167-6309
(618) 225-3035
Mailing address
5000 MOUNTAIN SPRINGS RD APT 405, ANTIOCH, TN 37013-5770
(618) 225-3035
(618) 225-3035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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