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NPI Code Detail

MEDICARE: MS. SHERYL HOLLAND LCSW

MEDICARE: MS. SHERYL HOLLAND LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR026403-1NY

General Provider Information

NPI Number : 1245513480
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERYL HOLLAND LCSW
Provider Business Mailing Address
First Line : 369 NEW SCOTLAND AVE
Second Line :
City : ALBANY
State : NY
Zip : 12208-2736
Country : US
Telephone Number : 518-475-6785
Fax Number :
Provider Business Practice Location Address
First Line : 369 NEW SCOTLAND AVE
Second Line :
City : ALBANY
State : NY
Zip : 12208-2736
Country : US
Telephone Number : 518-475-6785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2011
Last Update Date : 09/23/2011

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Directions to “ MS. SHERYL HOLLAND LCSW” Practice Location

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