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Individual

HOLLY JO DORNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
9215 29TH ST NE, LAKE STEVENS, WA 98258-4200
(425) 335-1643
Mailing address
9215 29TH ST NE, LAKE STEVENS, WA 98258-4200

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
61074389
WA

Other

Enumeration date
09/23/2020
Last updated
09/23/2020
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