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1386710069
MARY CHRISTINE MICHENER
TWIN FALLS, ID
NPI
1386710069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1400)
Enumeration Date
2006-11-27
Last Update Date
2007-07-08
Business Address
Mrs. MARY CHRISTINE MICHENER M.S. CCC SLP
1525 ADDISON AVE E STE 6
TWIN FALLS, ID 83301-5383
Phone number: 208-420-1316
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Mailing Address
Mrs. MARY CHRISTINE MICHENER M.S. CCC SLP
1175 E 900 S
EDEN, ID 83325-5009
Phone number: 208-825-5778
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