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1730455106
TINA M HOLT
NEWARK, OH
NPI
1730455106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH ICDC.892560)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
-- TINA M HOLT LICDC
65 MESSIMER DR
NEWARK, OH 43055-1874
Phone number: 740-522-8477
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Mailing Address
-- TINA M HOLT LICDC
PO BOX 4670 NEWARK
NEWARK, OH 43058-4670
Phone number: 740-522-8477
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