Organization
SPROUTED THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE ELIZABETH WILLIAMS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(714) 616-9572
Entity
Organization
Contact information
Practice address
533 E RIVERSIDE DR STE 102, EAGLE, ID 83616-6621
(208) 992-5290
Mailing address
533 E RIVERSIDE DR STE 102, EAGLE, ID 83616-6621
(208) 992-5290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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