Individual
HOLLY ANDREA SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6550 GARBER RD, DAYTON, OH 45415-2000
(937) 293-8300
Mailing address
6550 GARBER RD, DAYTON, OH 45415-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
OH
Enumeration date
05/15/2014
Last updated
05/15/2014
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