Individual
MARILYN MARIE HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 LINDA CIR, WINSTON SALEM, NC 27106-3023
(336) 995-2231
Mailing address
2013 NICKLAUS DR, SUFFOLK, VA 23435-4107
(336) 995-2231
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
03/19/2019
Last updated
10/16/2023
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