Individual
MIA M HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2127 WOODLAND DR, ADA, OK 74820-4461
(580) 320-8599
Mailing address
2127 WOODLAND DR, ADA, OK 74820-4461
(580) 320-8599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5912
OK
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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