Individual
MRS. HOLLY CHRISTINE DICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DIANE DRIVE, FORT ASHBY, WV 26719
(304) 298-3602
Mailing address
14417 AMCELLE ST, CUMBERLAND, MD 21502-5681
(301) 331-4033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P/SLP-0609
WV
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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