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Individual

HOLLY BORNTRAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
74186 TALLASSEE HWY, WETUMPKA, AL 36092-5643
(334) 478-3570
Mailing address
175 HONEYSUCKLE CT, MILLBROOK, AL 36054-1590
(662) 361-1577

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5434
AL

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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