Individual
DEANNA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF SLP
Contact information
Practice address
6855 W FAIRVIEW AVE, STER 120, BOISE, ID 83704-8046
(208) 323-8888
Mailing address
3925 NORMANDIE DR, BOISE, ID 83705-4732
(208) 323-8888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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