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Individual

MRS. KATIE ELIZABETH WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
S.L.P

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
(714) 616-9572

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
8125
CA
235Z00000X
Speech-Language Pathologist
Primary
SLP-4230
ID
235Z00000X
Speech-Language Pathologist
SP-4230
ID

Other

Enumeration date
01/21/2013
Last updated
03/15/2023
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