Individual
TAMI ELIZABETH OLESEN-POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 TROY RD STE 2, MOSCOW, ID 83843-3995
(208) 882-6904
Mailing address
504 E SUNSET AVE, GENESEE, ID 83832-8711
(208) 413-4402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1340
ID
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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