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Individual

MEGAN M LOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BIS

Contact information

Practice address
1322 10TH AVE, LEWISTON, ID 83501-3038
(208) 568-0957
Mailing address
1322 10TH AVE, LEWISTON, ID 83501-3038
(208) 568-0957

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
ID

Other

Enumeration date
11/12/2024
Last updated
11/12/2024
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