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1194065821
SALLY ANNE SWANSON
LEWISTON, ID
NPI
1194065821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: WA LL00003802)
Enumeration Date
2013-02-16
Last Update Date
2013-02-16
Business Address
SALLY ANNE SWANSON MS, CCC-SLP
1250 IDAHO ST
LEWISTON, ID 83501-1965
Phone number: 208-799-5219
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Mailing Address
SALLY ANNE SWANSON MS, CCC-SLP
319 S MONROE ST
MOSCOW, ID 83843-3335
Phone number: 208-596-7753
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