Provider Information for 1962546135
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Ms. SHARON RUTH HOLLANDSWORTH LCSW
Sex: Female
NPI: 1962546135
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1962546135 | ||||||||
| Enumeration Date | 2007-02-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 500 W WOODCROFT PKWY #3C DURHAM, NC 27713-7726 United States Phone: 919-401-5896 | Fax:919-956-4094 | ||||||||
| Primary Practice Address | 1301 FAYETTEVILLE ST DURHAM, NC 27707-2325 United States Phone: 919-956-4060 | Fax:919-956-4094 | ||||||||
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