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HOLLY HALES M.S., CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1215368089

Individual Registrant:
 HOLLY  HALES M.S., CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
108 WALNUT ST  BLOOMINGDALE, GA 31302-8535 US
Tel: 912-658-6433  Fax: --

Contact information for business:
108 WALNUT ST  BLOOMINGDALE, GA 31302-8535 US
Tel: 912-658-6433  Fax: --

Registration Information:
NPI: 1215368089
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GA1189302

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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