Individual
MRS. IRENE MICHELE HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48052 S 356 RD, PAWNEE, OK 74058-5123
(918) 223-5840
Mailing address
48052 S 356 RD, PAWNEE, OK 74058-5123
(918) 223-5840
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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