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Individual

KATIE JO ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
Mailing address
1522 BIG BEAR WAY, IDAHO FALLS, ID 83404-1218

Taxonomy

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

Other

Enumeration date
10/31/2022
Last updated
10/31/2022
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