Individual
CASEY RAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CF-SLP
Contact information
Practice address
2377 CORONADO ST, IDAHO FALLS, ID 83404-7440
(208) 535-1286
Mailing address
160 SAINT CLAIR RD, IDAHO FALLS, ID 83401-4379
(208) 569-0853
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP - 2713
ID
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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