Individual
HOLLY MARIA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSR, CCC-SLP
Contact information
Practice address
351 WILMINGTON ISLAND RD, SAVANNAH, GA 31410-3851
(912) 898-9711
Mailing address
6 RIVER WALK, SAVANNAH, GA 31410-1563
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP006417
SLP STATE BOARD
GA
Enumeration date
04/17/2008
Last updated
04/17/2008
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