Individual
LACIE MAE MCARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 N WILDWOOD ST, BOISE, ID 83713-5146
(877) 200-8152
Mailing address
2992 N VILLERE LN, MERIDIAN, ID 83646-6635
(530) 368-6057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7771965
ID
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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