Dr. Chuckson Holloway's National Provider Identifier (NPI) Details
Dr. Chuckson Holloway, PhD, MSW
NPI: 1669029682
Enumeration Date: 2019-08-23
Last updated: 2019-08-23
Sole Proprietor: YES
Status: active
Postal Address: 8934 N LAKE DR, BAYSIDE, WI
Phone: 414-841-1624
Primary Practice Address: 6833 W FOND DU LAC AVE, MILWAUKEE, WI
Practice's phone: 414-231-9176