Individual
HOLLY HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
108 WALNUT ST, BLOOMINGDALE, GA 31302-8535
(912) 658-6433
Mailing address
108 WALNUT ST, BLOOMINGDALE, GA 31302-8535
(912) 658-6433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1189302
GA
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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