Individual
MS. HOLLY MARIE BROSIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
3059 SWEET ARROW LAKE RD, PINE GROVE, PA 17963-7943
(570) 345-6403
Mailing address
3059 SWEET ARROW LAKE RD, PINE GROVE, PA 17963-7943
(570) 345-6403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL-003508-L
PA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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