LISA RAE MCBRIDE

IDAHO FALLS, ID
NPI1104910553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1415)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
Mrs. LISA RAE MCBRIDE M.S., CCC-SLP
3446 MERLIN
IDAHO FALLS, ID 83404
Phone number: 208-523-3662
Mailing Address
Mrs. LISA RAE MCBRIDE M.S., CCC-SLP
3322 SANDY DR
IDAHO FALLS, ID 83401
Phone number: 208-604-1962
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