Jackie Holland

NPI #1508183526 in Muskogee, Oklahoma

Provider Information

NPI Number: 1508183526
Entity Type: Individual
Name: Jackie Holland
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Apr 29, 2010
Last Updated: Jun 5, 2021

Practice Location

Address: 1601 W OKMULGEE ST STE M
City: Muskogee
State: Oklahoma
ZIP Code: 74401-6700
Phone: (918) 360-3859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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