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Individual
DR. HOLLY M. ANTAL
Active
Individual
DR. HOLLY M. ANTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY7214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332357411A
—
GA
Enumeration date
08/10/2006
Last updated
09/02/2011
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