RUSSELL HOLLOWAY

DAYTONA BEACH, FL
NPI1790547685
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: FL  MH10816)
Enumeration Date2024-01-25
Last Update Date2024-01-25
Business Address
RUSSELL HOLLOWAY
215 S PALMETTO AVE
DAYTONA BEACH, FL 32114-4308
Phone number: 386-212-3634
Mailing Address
RUSSELL HOLLOWAY
215 S PALMETTO AVE
DAYTONA BEACH, FL 32114-4308
Phone number: 386-212-3634
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