JACKIE ST MARIE

LEWISTON, ID
NPI1699434639
Former NameJACKIE DECIANNE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2021-12-16
Last Update Date2021-12-16
Business Address
JACKIE ST MARIE SLP
1014 BURRELL AVE
LEWISTON, ID 83501-5472
Phone number: 208-743-4558
Mailing Address
JACKIE ST MARIE SLP
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-364-0611