Individual
MRS. HEATHER MARIE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1619 DAYTON AVE, STE 112B, SAINT PAUL, MN 55104-6206
(612) 889-7517
(651) 389-0510
Mailing address
1619 DAYTON AVE STE 112B, SAINT PAUL, MN 55104-6276
(612) 889-7517
(651) 389-0510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21742
MN
Other
Enumeration date
01/05/2015
Last updated
05/10/2017
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