JENNIFER W. PUTNAM

POCATELLO, ID
NPI1518028141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1405)
Enumeration Date2006-12-13
Last Update Date2012-03-07
Business Address
-- JENNIFER W. PUTNAM M.S. CCC-SLP
3145 DARTAGNAN DR
POCATELLO, ID 83204-5090
Phone number: 208-520-1403
Mailing Address
-- JENNIFER W. PUTNAM M.S. CCC-SLP
3145 DARTAGNAN DR
POCATELLO, ID 83204-5090
Phone number: 208-520-1403
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