Individual
LAURIE ANN BOWCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4667 E 100 N, RIGBY, ID 83442-5808
(208) 881-6863
Mailing address
4667 E 100 N, RIGBY, ID 83442-5808
(208) 881-6863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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