Individual
HOLLY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11942 E MCCREADY PL, VAIL, AZ 85641-0769
(505) 681-1484
Mailing address
11942 E MCCREADY PL, VAIL, AZ 85641-0769
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15844
AZ
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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