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1386044097
DIANA HOLT
LODI, CA
NPI
1386044097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW 9454)
Enumeration Date
2014-08-29
Last Update Date
2014-08-29
Business Address
-- DIANA HOLT LCSW
315 PINE ST
LODI, CA 95240-1145
Phone number: 209-366-2273
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Mailing Address
-- DIANA HOLT LCSW
315 PINE ST.
LODI, CA 95240
Phone number: 209-366-2273
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