Individual
LAUREN ROSE ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
8620 W EMERALD ST STE 100, BOISE, ID 83704-4838
(208) 898-1368
Mailing address
101 11TH AVE S # 155, NAMPA, ID 83651-3918
(208) 466-1077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-5421
ID
Other
Enumeration date
09/13/2021
Last updated
08/19/2022
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