Individual
SAIGE TOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 WILDWOOD ST, BOISE, ID 83713-5146
(877) 200-8152
Mailing address
15325 LAVIN ST, CALDWELL, ID 83607-8303
(208) 899-7247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5874
ID
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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