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1316084494
IDA MARIE HOLLEY
ORANGE PARK, FL
NPI
1316084494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH6257)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Ms. IDA MARIE HOLLEY LMHC
1532 KINGSLEY AVE SUITE 112
ORANGE PARK, FL 32073-4538
Phone number: 904-278-8722
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Mailing Address
Ms. IDA MARIE HOLLEY LMHC
PO BOX 1457
ORANGE PARK, FL 32067-1457
Phone number: 904-278-8722
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