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Individual

LOUISE A HOLBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2011 DARWOOD DR, GROVETOWN, GA 30813-4895
(678) 485-6239
Mailing address
2011 DARWOOD DR, GROVETOWN, GA 30813-4895
(678) 485-6239
(706) 243-4269

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006517
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
755945802B
GA
Enumeration date
02/26/2007
Last updated
02/27/2020
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