Individual
MARY K HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7242
(907) 357-4400
Mailing address
1451 E FAIRVIEW LOOP, WASILLA, AK 99654-0352
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
218860
AK
Other
Enumeration date
01/15/2024
Last updated
02/05/2025
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