Individual
KELSEY HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
397 RAILROAD ST, ST JOHNSBURY, VT 05819-1739
(802) 424-1042
Mailing address
PO BOX 699, LYNDONVILLE, VT 05851-0699
(802) 424-1042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79663
NH
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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