Individual
HOLLY MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 W 40TH ST, HOLLAND, MI 49423-4600
(616) 394-0302
Mailing address
3442 30TH ST SW, GRANDVILLE, MI 49418-1484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007452
MI
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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