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Individual

HEATHER HOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1802 LIBERTY RD NW, ROANOKE, VA 24012-4643
(540) 853-2994
Mailing address
3406 SUNCHASE CT APT 128, ROANOKE, VA 24018-3164

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008722
VA

Other

Enumeration date
01/26/2018
Last updated
03/17/2018
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