Individual
HOLLY JUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MAPLEWOOD DR, BRIDGEPORT, WV 26330-9115
(304) 848-0200
Mailing address
1000 MAPLEWOOD DR, BRIDGEPORT, WV 26330-9115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1935
WV
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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