Individual
AMY JEAN RARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CCC
Contact information
Practice address
650 N CLEVELAND ST, MOSCOW, ID 83843-3600
(208) 882-1120
Mailing address
616 S JEFFERSON ST APT B, MOSCOW, ID 83843-3271
(907) 229-4911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3206
ID
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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