Individual
HOLLE AHNA MARICLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
700 WAVERLY RD, DAVENPORT, IA 52804-4317
(563) 324-1651
(563) 324-1651
Mailing address
700 WAVERLY RD, DAVENPORT, IA 52804-4317
(563) 324-1651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01491
IA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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