Individual
MRS. JENNIFER L. HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 CEDAR LN., SHOREWOOD, IL 60404-9721
(815) 725-3130
Mailing address
305 CEDAR LN., SHOREWOOD, IL 60404-9721
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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