Individual
SAUNJA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CF
Contact information
Practice address
1957 ALVIN RICKEN DR, POCATELLO, ID 83201-2727
(208) 235-7800
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-2904
ID
Other
Enumeration date
04/24/2016
Last updated
04/24/2016
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