Individual
ALLISON RAE EARLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5301 E WARM SPRINGS AVE, BOISE, ID 83716-6201
(208) 336-5550
Mailing address
1212 N PIKE ST, BOISE, ID 83706-2414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3121
ID
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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