Individual
MRS. HOLLY LEE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6416 GOLDEN EYE GLN, LAKEWOOD RANCH, FL 34202-5834
(407) 451-6838
Mailing address
6416 GOLDEN EYE GLEN, BRADENTON, FL 34202
(407) 451-6838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 11079
FL
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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