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Individual

JOANNA LEE HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
12 W. SUNBRIDGE, FAYETTEVILLE, AR 72703
(479) 725-5224
(479) 750-8967
Mailing address
2400 S. 48TH STREET, SPRINGDALE, AR 72762
(479) 750-2020
(479) 750-8967

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1008101
AR

Other

Enumeration date
08/31/2010
Last updated
06/06/2011
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