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Individual

MARY CELESTE HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
935 E WINDING CREEK DR, SUITE 120, EAGLE, ID 83616-7240
(208) 938-4748
(208) 938-1710
Mailing address
935 E WINDING CREEK DR, SUITE 120, EAGLE, ID 83616-7240
(208) 938-4748
(208) 938-1710

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1858
ID
235Z00000X
Speech-Language Pathologist
TSLP-1740
ID

Other

Enumeration date
09/05/2008
Last updated
07/07/2009
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