Individual
LISA HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW INTERN
Contact information
Practice address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
(612) 822-8227
(612) 825-4204
Mailing address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
(612) 822-8227
(612) 825-4204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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