Individual
HOLLY ANN JIMMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
17677 W LINCOLN ST, GOODYEAR, AZ 85338-6081
(850) 728-7036
(850) 728-7036
Mailing address
17677 W LINCOLN ST, GOODYEAR, AZ 85338-6081
(850) 728-7036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPA10647
AZ
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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