Individual
EVAN HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
X-10594
NM
Other
Enumeration date
03/09/2016
Last updated
07/20/2018
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