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Individual

MRS. LEANN YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CF-SLP

Contact information

Practice address
1019 3RD AVE S, PAYETTE, ID 83661-2832
(208) 642-4455
(208) 642-1315
Mailing address
1017 W ASHBY DR, MERIDIAN, ID 83646-6055
(208) 695-8342
(208) 642-1315

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14060
OR
235Z00000X
Speech-Language Pathologist
Primary
TSLP2282
ID

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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