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Individual

DIANA HOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
122 ELMIRA ST, TROY, PA 16947-1202
(570) 529-6060
Mailing address
3237 MOUNTAIN RIDGE RD, MAINESBURG, PA 16932-9517
(705) 120-1645

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
I.2405699
OH
1041C0700X
Clinical Social Worker
097774-01
NY
1041C0700X
Clinical Social Worker
Primary
CW025051
PA

Other

Enumeration date
03/05/2015
Last updated
02/10/2025
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