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Individual

DR. MARNELL MAKELA HOLTGRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
212 S MAIN ST, NEW CASTLE, IN 47362-4215
(765) 529-5226
(765) 529-1556
Mailing address
3241 EAST C. R. 300 NORTH, NEW CASTLE, IN 47362
(765) 529-5226
(765) 529-1556

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040702A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200038170A
IN
Enumeration date
10/02/2006
Last updated
01/07/2010
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