Individual
AMANDA HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 JEFFERSON RD STE C, CHARLESTON, WV 25309-8815
(866) 338-2725
Mailing address
1434 CLEARVIEW HTS, CHARLESTON, WV 25312-5312
(304) 590-1809
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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