Individual
CHEYENNE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1510 W OTTAWA RD, PAXTON, IL 60957-4090
(217) 379-4302
(217) 817-0379
Mailing address
507 N CENTER ST, TUSCOLA, IL 61953-1208
(217) 259-8142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
04/26/2023
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