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1417444712
GLENN HOLT
BAY SHORE, NY
NPI
1417444712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 102694-1)
Enumeration Date
2018-04-23
Last Update Date
2018-04-23
Business Address
GLENN HOLT
9 4TH AVE
BAY SHORE, NY 11706-7908
Phone number: 631-665-6707
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Mailing Address
GLENN HOLT
203 GIBBS POND RD
NESCONSET, NY 11767-2265
Phone number: 508-692-8780
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