Individual
MS. ANNA GALE ESTES-WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1653 SE HAMILTON RD, MOUNTAIN HOME, ID 83647-5858
(208) 587-4658
Mailing address
1653 SE HAMILTON RD, MOUNTAIN HOME, ID 83647-5858
(208) 587-4658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1474
ID
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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