Individual
SARA WENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 STATE ST, MCCALL, ID 83638-3704
(208) 634-5909
Mailing address
1010 STATE ST, MCCALL, ID 83638-3704
(208) 634-5909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-2787
ID
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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