Individual
MRS. PATRICIA JOYCE WOLFLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
103 S 900 W, BLACKFOOT, ID 83221-6065
(208) 684-3001
Mailing address
1120 W TABER RD, BLACKFOOT, ID 83221-5111
(208) 680-3036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01077360
ID
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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