Individual
CHRISTINE LEIGH WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3169 S BOWN WAY, BOISE, ID 83706-5400
(208) 433-9152
Mailing address
2310 W PLEASANTON AVE, BOISE, ID 83702-3835
(928) 600-4948
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-3338
ID
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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