Holly Lane

NPI 1326464835 - Counselor - 101Y00000X

NPI Details
NPI 1326464835
Gender Female
Enumeration Date 03/07/2014
Last Updated 03/07/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
583 W GAINES ST
MONTICELLO AR, 71655-4637, US
Phone (870) 367-2143
Fax (870) 367-2145
Business Location
602 N WALTON BLVD
BENTONVILLE AR, 72712-4576, US
Phone (479) 464-1060
Fax (479) 271-6307
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Holly Lane NPI is 1326464835, taxonomy code is 101Y00000X Holly Lane physically located at 583 W Gaines St, Monticello AR, 71655-4637. NPI Number Holly Lane has the Individual type.

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1326464835 NPI number is provided on an as is basis without warranty of any kind. 1326464835 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Lane are for informational purposes only.