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Individual

KAITLYN ROSE SMITH

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
2127 W OVERLAND RD, BOISE, ID 83705-3149
(208) 321-4898
Mailing address
5122 S SURPRISE WAY APT 104, BOISE, ID 83716-9050
(561) 351-8480

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-4407
ID

Other

Enumeration date
08/14/2020
Last updated
08/14/2020
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