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Organization

IDAHO DYSPHAGIA SPECIALISTS LLC

Active
Other names
Northwest Mobile FEES
Organization subpart
No

Provider details

NPI number
Authorized official
ANNE LEAF MA CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(208) 863-8370
Entity
Organization

Contact information

Practice address
1775 W STATE ST, 248, BOISE, ID 83702-3924
(208) 863-8370
Mailing address
1775 W STATE ST, 248, BOISE, ID 83702-3924

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1331
ID

Other

Enumeration date
08/21/2014
Last updated
06/21/2024
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