Individual
HOLLY HARTONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
500A FORUM DR, ROLLA, MO 65401-4602
(573) 458-0100
Mailing address
500A FORUM DR, ROLLA, MO 65401-4602
(573) 458-0100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016028068
MO
Other
Enumeration date
02/16/2017
Last updated
10/11/2017
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