Individual
MRS. VICKI LYNN HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SCP
Contact information
Practice address
316 NORTH MILWAUKEE ST, SUITE 208 HERITAGE HEALTHCARE GP, MILWAUKEE, WI 53202-5803
(414) 615-0665
(888) 389-9031
Mailing address
1636 ALTA VISTA AVE, WAUWATOSA, WI 53213
(414) 453-6788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1558-154
WI
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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