Individual
JUSTINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W LACROSSE AVE, COEUR D ALENE, ID 83814-2403
(208) 664-2185
(208) 664-1604
Mailing address
207 N SCOTT ST, POST FALLS, ID 83854-7574
(701) 566-4504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2445
ID
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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