Individual
DR. JO G HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW, MSW
Contact information
Practice address
9129 N PARK AVE, INDIANAPOLIS, IN 46240-1008
(317) 596-1966
(317) 598-0802
Mailing address
9129 N PARK AVE, INDIANAPOLIS, IN 46240-1008
(317) 596-1966
(317) 598-0802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000352A
IN
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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