Individual
HOLLIE MILLICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 S DURANGO DR, APT 2012, LAS VEGAS, NV 89147-6073
(770) 880-7935
Mailing address
4515 S DURANGO DR, APT 2012, LAS VEGAS, NV 89147-6073
(770) 880-7935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP 22983
CA
235Z00000X
Speech-Language Pathologist
Primary
SP-1949
NV
235Z00000X
Speech-Language Pathologist
TSLP8461
AZ
Other
Enumeration date
09/17/2013
Last updated
11/30/2016
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