Individual
STEPHANIE KAY HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC-MS
Contact information
Practice address
1104 7TH AVE S, MOORHEAD, MN 56563-0001
(218) 477-2330
Mailing address
1186 100TH AVE NW, MOORHEAD, MN 56560-7215
(218) 790-3372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
301247
MN
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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