Individual
HOLLY WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
216 MAIN ST, LAKE VILLAGE, AR 71653-1916
(870) 265-3950
(870) 265-2525
Mailing address
216 MAIN ST, LAKE VILLAGE, AR 71653-1916
(870) 265-3950
(870) 265-2525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1984
AR
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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