Individual
MRS. ALLISON LOUISE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
316 E 1ST ST, MIDDLETON, ID 83644-5995
(208) 654-6161
(208) 473-7320
Mailing address
316 E 1ST ST, MIDDLETON, ID 83644-5995
(208) 654-6161
(208) 473-7320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3915
ID
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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