JESSICA HARSTON

BOISE, ID
NPI1518262872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-2072)
Enumeration Date2011-01-18
Last Update Date2011-01-18
Business Address
-- JESSICA HARSTON SLP
6855 W FAIRVIEW AVE
BOISE, ID 83704-8046
Phone number: 208-323-8888
Mailing Address
-- JESSICA HARSTON SLP
6855 W FAIRVIEW AVE
BOISE, ID 83704-8046
Phone number: 208-323-8888
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