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Individual

MRS. LAURA WILSON HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
510 CARPENTER AVE, MOORESVILLE, NC 28115-2512
(704) 663-2115
(704) 663-2730
Mailing address
294 BAYMOUNT DR., STATESVILLE, NC 28625
(704) 876-4760
(704) 876-4760

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4117
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7412100
NC
Enumeration date
09/11/2006
Last updated
07/08/2007
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