KELLI SHAW

BOISE, ID
NPI1023401825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-2657)
Enumeration Date2015-03-18
Last Update Date2015-03-18
Business Address
-- KELLI SHAW
3115 N SYCAMORE DR
BOISE, ID 83703-4129
Phone number: 208-401-6401
Mailing Address
-- KELLI SHAW
613 N HILLVIEW DR
BOISE, ID 83712-8120
Phone number: 208-353-7776
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