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1417012410
KATHIE CLAIRE MENDEZ-SHAW
BOISE, ID
NPI
1417012410
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Former Name
KATHIE CLAIRE MENDEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1419)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
-- KATHIE CLAIRE MENDEZ-SHAW CCC-SLP
890 N COLE RD SUITE A
BOISE, ID 83704-8638
Phone number: 208-323-8888
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Mailing Address
-- KATHIE CLAIRE MENDEZ-SHAW CCC-SLP
2714 ARLINGTON AVE APT 201
CALDWELL, ID 83605-7123
Phone number: 208-890-4023
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