Individual
CODY HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
172 FISHER RD, LILLINGTON, NC 27546-4838
(813) 417-6400
Mailing address
PO BOX 3635, BUIES CREEK, NC 27506-3635
(904) 907-0694
(888) 892-2593
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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