AMANDA TAYLOR

POCATELLO, ID
NPI1063957967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-2914)
Enumeration Date2016-12-31
Last Update Date2016-12-31
Business Address
-- AMANDA TAYLOR
1071 RENEE AVE
POCATELLO, ID 83201-2508
Phone number: 208-233-1411
Mailing Address
-- AMANDA TAYLOR
1071 RENEE AVE
POCATELLO, ID 83201-2508
Phone number: 208-233-1411
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