Individual
ABIGAIL GRACE HOLTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
123 WASHINGTON CIR, LAKE FOREST, IL 60045-2455
(847) 461-3053
Mailing address
160 QUEBEC WAY, LEXINGTON, KY 40515-4625
(859) 684-8789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242007851
IL
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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