Organization
HOLLY YODER THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY YODER (OWNER)
(574) 903-6039
Entity
Organization
Contact information
Practice address
1930 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-2161
(574) 534-3887
Mailing address
304 NEBRASKA DR, GOSHEN, IN 46526-1434
(574) 903-6039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005054A
IN
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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