Individual
MRS. JESSICA M BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
9215 W OTTAWA DR, BOISE, ID 83709-8210
(208) 871-1089
Mailing address
9215 W OTTAWA DR, BOISE, ID 83709-8210
(208) 871-1089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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