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Individual

HOLLY ANNE ROSIN

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
3900 LLEWELLYN AVE, NORFOLK, VA 23504-1203
(757) 625-5363
Mailing address
3900 LLEWELLYN AVE, NORFOLK, VA 23504-1203
(757) 625-5363

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008878
VA
235Z00000X
Speech-Language Pathologist
3679-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20200100
WI
Enumeration date
08/06/2012
Last updated
04/19/2018
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