Provider Demographics
NPI:1629552237
Name:HOLLAND, ALLISON M (MSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 CAMBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31793-5675
Mailing Address - Country:US
Mailing Address - Phone:256-520-6458
Mailing Address - Fax:
Practice Address - Street 1:166 CAMBRIDGE CT
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31793-5675
Practice Address - Country:US
Practice Address - Phone:256-520-6458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor