Individual
HOLLY L DE NIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
77 RODIMAN AVE, FITCHBURG, MA 01420-7123
(978) 345-9977
Mailing address
77 RODIMAN AVE, FITCHBURG, MA 01420-7123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4459
MA
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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