Individual
KRISTY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5445 SMITH RD, BROOKPARK, OH 44142-2026
(216) 332-9360
Mailing address
5445 SMITH RD, BROOKPARK, OH 44142-2026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2002469
OH
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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