Individual
BARRY SHAWN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254001
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254001
KENTUCKY BOARD OF SOCIAL WORK
KY
Enumeration date
07/26/2016
Last updated
09/23/2019
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