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Individual

MRS. ELLEN EZZELL HOLLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2017 LYNDHURST AVE, CHARLOTTE, NC 28203-5313
(704) 609-8255
(704) 371-7385
Mailing address
2017 LYNDHURST AVE, CHARLOTTE, NC 28203-5313
(704) 609-8255
(704) 371-7385

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5510
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7411962
NC
Enumeration date
01/23/2007
Last updated
07/08/2007
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