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Individual

CALLY R STONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,CCC-SLP

Contact information

Practice address
1835 WILDWOOD ST, BOISE, ID 83713-5146
(208) 898-0988
(208) 898-9022
Mailing address
600 W CALDERWOOD ST, MERIDIAN, ID 83642-8133
(208) 353-1117

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1182
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010145950
BLUE SHIELD PROV NUMBER
ID
01
SP649
BLUE CROSS PROVIDER NUMBE
ID
Enumeration date
02/05/2007
Last updated
06/09/2023
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