Individual
CAROLINE GRACE HOLOCHWOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1448 5TH AVE, BAY SHORE, NY 11706-4147
(631) 647-3100
Mailing address
1448 5TH AVE, BAY SHORE, NY 11706-4147
(631) 647-3100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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