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Individual

MRS. ANNE HOLLOWAY BOHANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
4913 OAKS CT, MIDDLETOWN, OH 45042-4921
(859) 816-1190
Mailing address
4913 OAKS CT, MIDDLETOWN, OH 45042-4921
(859) 816-1190

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11597
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11597
OHIO SPEECH AND HEARING PROFESSIONALS BOARD
OH
01
14051394
ASHA
01
OH3228036
OHIO DEPARTMENT OF EDUCATION PUPIL SERVICES LICENSE
OH
Enumeration date
08/24/2022
Last updated
08/24/2022
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