STACEY CARROTHERS

NAMPA, ID
NPI1043887771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-4777)
Enumeration Date2021-06-10
Last Update Date2021-06-10
Business Address
STACEY CARROTHERS
101 11TH AVE S STE 155
NAMPA, ID 83651-3918
Phone number: 208-466-1077
Mailing Address
STACEY CARROTHERS
101 11TH AVE S STE 155
NAMPA, ID 83651-3918
Phone number: 208-466-1077
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