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Individual

GABRIELLE ANNE HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC

Contact information

Practice address
3965 W 83RD ST STE 126, PRAIRIE VILLAGE, KS 66208-5308
(913) 945-1215
Mailing address
5951 NW 63RD TER UNIT 1226, KANSAS CITY, MO 64151-3529
(308) 293-2496

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022038365
MO

Other

Enumeration date
11/07/2022
Last updated
07/30/2024
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