Individual
DAYLENE A WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
412 S KING AVE STE 105, MIDDLETON, ID 83644-5294
(208) 914-8154
Mailing address
29343 FARMWAY RD, CALDWELL, ID 83607-8679
(208) 914-8154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3788
ID
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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