Individual
MISS HOLLEY MARIE BADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
3817 E STATE ROAD 64, BRADENTON, FL 34208-9041
(941) 745-5111
(941) 745-5667
Mailing address
2508 16TH AVE W, BRADENTON, FL 34205-4727
(941) 741-8054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4103
FL
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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