Individual
VICKI VOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
65 BRASSEY CIR, IDAHO CITY, ID 83631-4103
(298) 392-9585
Mailing address
P.O. BOX 855, IDAHO CITY, ID 83631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1319
ID
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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