Individual
MAKENZI WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 N 3RD E, MOUNTAIN HOME, ID 83647-2734
(208) 898-0988
Mailing address
245 N 3RD E, MOUNTAIN HOME, ID 83647-2734
(208) 898-0988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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