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Individual
HOLLIE ROBERSON
Active
Individual
HOLLIE ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#3969
AR
235Z00000X
Speech-Language Pathologist
SP#P8909
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207683721
—
AR
Enumeration date
06/03/2015
Last updated
06/02/2016
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