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Individual

HOLLY NOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC/SLP

Contact information

Practice address
172 CRESTHAVEN PL, SAINT JOHNS, FL 32259-7277
(904) 669-8448
Mailing address
172 CRESTHAVEN PL, SAINT JOHNS, FL 32259-7277
(904) 669-8448

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8485
FL

Other

Enumeration date
03/01/2013
Last updated
03/01/2013
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