Individual
MRS. HOLLY ELIZABETH WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D. CCC-SLP, LMP
Contact information
Practice address
2807 SW BATAAN STREET, SEATTLE, WA 98126
(302) 547-1363
Mailing address
2807 SW BATAAN STREET, SEATTLE, WA 98126
(302) 547-1363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA60330991
WA
235Z00000X
Speech-Language Pathologist
Primary
LL60244300
WA
Other
Enumeration date
09/20/2011
Last updated
10/28/2015
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