Individual
CARLETTA JEAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 LEWISTON STREET, COTTONWOOD, ID 83522
(208) 962-3251
(208) 962-2478
Mailing address
PO BOX 137, COTTONWOOD, ID 83522-0137
(208) 962-3251
(208) 962-2478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1091
ID
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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