KATIE SUZANNE HOGAN

IDAHO FALLS, ID
NPI1679179972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-3120)
Enumeration Date2020-12-10
Last Update Date2020-12-10
Business Address
KATIE SUZANNE HOGAN
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Mailing Address
KATIE SUZANNE HOGAN
1415 WHITEWATER DR APT 1202
IDAHO FALLS, ID 83402-5040
Phone number: 772-453-4598
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