Individual
MCKENZIE GRACE HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
554 BENTLEY LOOP, JENKINS, KY 41537-9005
(859) 779-8802
Mailing address
554 BENTLEY LOOP, JENKINS, KY 41537-9005
(859) 779-8802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
166121
KY
235Z00000X
Speech-Language Pathologist
2202008703
VA
Other
Enumeration date
08/23/2017
Last updated
10/25/2023
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