Individual
MRS. AMANDA RAEANN HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
165 LORA MARTIN LN, MOUSIE, KY 41839-8935
(606) 791-5735
Mailing address
165 LORA MARTIN LN, MOUSIE, KY 41839-8935
(606) 791-5735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3571
KY
Other
Enumeration date
10/04/2010
Last updated
02/12/2019
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