Jenny Belle Hollis, L.I.C.S.W.

NPI #1174739098 in Red Lake, Minnesota

Provider Information

NPI Number: 1174739098
Entity Type: Individual
Name: Jenny Belle Hollis, L.I.C.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: L.I.C.S.W.
Enumeration Date: May 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 24760 HOSPITAL DRIVE
City: Red Lake
State: Minnesota
ZIP Code: 56671
Phone: (218) 679-3316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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