CARRIE FORD

BOISE, ID
NPI1770970121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-2369)
Enumeration Date2015-04-23
Last Update Date2015-04-23
Business Address
-- CARRIE FORD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
Mailing Address
-- CARRIE FORD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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