Individual
MS. SHELLEY HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 ELTON ST, BROOKLYN, NY 11208-5418
(347) 267-2215
Mailing address
1655 FLATBUSH AVE APT B1804, BROOKLYN, NY 11210-6911
(347) 267-2215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
076785-01
NY
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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