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Individual

ALEXANDRA HOLLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
301 LAKE ST, DALLAS, PA 18612-1008
(570) 675-9588
(570) 674-5765
Mailing address
37 BRIANS PL, WILKES BARRE, PA 18702-7864

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008483
PA

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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