Individual
STEVEN G SJOBLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-9570
Mailing address
3124 N WILDFLOWER DR, IDAHO FALLS, ID 83401-5031
(623) 293-3347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1954
ID
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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