Most Relevant Information
Provider Data
NPI Number: | 1003247552 |
Provider Name: | BRYAN HOLLIDAY LCSWA, CSAC |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | P008480 |
Most Important Dates
Enumeration Date: | 12/10/2013 |
Last Updated: | 12/10/2013 |
Provider Practice Location
4602 STERLING ST
FAYETTEVILLE
NC
283062355
Practice Location Phone/Fax
Phone: | 9105518552 |
Fax: |
Provider Mailing Location
4602 STERLING ST
FAYETTEVILLE
NC
283062355
Provider Mailing Phone/Fax
Phone: | 9105518552 |
Fax: |