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Individual

EVAN HOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102
(505) 342-5489
Mailing address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360

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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