Individual
MRS. SARA RAELI PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
113 MAIN ST N, UNIT 182, KIMBERLY, ID 83341-2002
(208) 904-3500
(208) 268-3878
Mailing address
113 MAIN ST N, UNIT 182, KIMBERLY, ID 83341-2002
(208) 904-3500
(208) 268-3878
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-5465
ID
Other
Enumeration date
09/23/2022
Last updated
10/10/2022
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