Most Relevant Information
Provider Data
| NPI Number: | 1003485897 |
| Provider Name: | DARRYL ERNEST HOLLAND LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 105135 |
Most Important Dates
| Enumeration Date: | 06/24/2021 |
| Last Updated: | 03/21/2024 |
Provider Practice Location
650 JOEL DR
FORT CAMPBELL
KY
422235318
Practice Location Phone/Fax
| Phone: | 2707988400 |
| Fax: |
Provider Mailing Location
650 JOEL DR
FORT CAMPBELL
KY
422235318
Provider Mailing Phone/Fax
| Phone: | 2707988400 |
| Fax: |