DEBORAH SULLIVAN

LEWISTON, ID
NPI1053740142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1376)
Enumeration Date2013-11-08
Last Update Date2013-11-08
Business Address
-- DEBORAH SULLIVAN
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-799-6514
Mailing Address
-- DEBORAH SULLIVAN
415 6TH ST
LEWISTON, ID 83501-2431
Phone number:
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