Individual
KARA HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MANTUA ST, PARK FOREST, IL 60466-1937
(708) 262-8894
Mailing address
240 MANTUA ST, PARK FOREST, IL 60466-1937
(708) 262-8894
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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