Individual
MRS. TAMARA NAGODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
304 EDGEWATER CIRCLE, MCCALL, ID 83638
(208) 867-8111
Mailing address
PO BOX 109, MCCALL, ID 83638-0109
(208) 867-8111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
11/14/2013
Last updated
07/29/2020
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