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1790183697
LAURA KATHLEEN WILLOUGHBY
MERIDIAN, ID
NPI
1790183697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1408)
Enumeration Date
2014-12-09
Last Update Date
2014-12-09
Business Address
-- LAURA KATHLEEN WILLOUGHBY M.S. CCC-SLP
3882 S CAPULET AVE
MERIDIAN, ID 83642-5093
Phone number: 208-863-7854
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Mailing Address
-- LAURA KATHLEEN WILLOUGHBY M.S. CCC-SLP
3882 S CAPULET AVE
MERIDIAN, ID 83642-5093
Phone number: 208-863-7854
Copy
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