Individual
MRS. HOLLY K. MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
430 EAST MAIN ST., BATAVIA, NY 14020-2519
(585) 343-1124
(585) 343-1197
Mailing address
430 EAST MAIN ST., BATAVIA, NY 14020-2519
(585) 343-1124
(585) 343-1197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
082694-1
NY
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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