Individual
MS. ALYSON CAROL ELSETHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1619 CURLEW DR STE 5, AMMON, ID 83406-4719
(208) 535-1286
(208) 535-1291
Mailing address
PO BOX 3629, IDAHO FALLS, ID 83403-3629
(208) 535-1286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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