Individual
MR. LEROY ALLEN HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 BAKER STREET, 40, CLINTON, ME 04927-0040
(207) 426-8979
Mailing address
POST OFFICE BOX 40, 21 BAKER STREET, CLINTON, ME 04927-0040
(207) 426-8979
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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