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Individual

BETH AGRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 N 7TH AVE, POCATELLO, ID 83201-5761
(208) 239-1490
Mailing address
9842 W BIGHORN DR, POCATELLO, ID 83204-7222
(757) 376-0167

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/15/2016
Last updated
12/22/2023
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