Individual
MS. JODY ELIZABETH CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 883-0086
Mailing address
716 OAK ST, APT 4, HOOD RIVER, OR 97031-1883
(541) 231-1016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12571
OR
235Z00000X
Speech-Language Pathologist
SLP-1723
ID
Other
Enumeration date
10/22/2007
Last updated
08/28/2012
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