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NPI Profile for Dr THERESA J HOLT in MORROW, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| NPI Number | 1780826834 |
|
| Status | Active | |
| Credentials | EDD, LPC, NCC | |
| Entity | Individual | |
| Enumeration date | 04/02/2009 | |
| Last updated | 04/02/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THERESA J HOLT
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THERESA J HOLT, EDD, LPC, NCC