Individual
LISA DAWN HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
601 SMALL COUNTRY LN, MIDLAND, NC 28107-7239
(704) 771-0051
Mailing address
601 SMALL COUNTRY LN, MIDLAND, NC 28107-7239
(704) 771-0051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9777
NC
Other
Enumeration date
07/20/2022
Last updated
07/21/2022
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