Individual
MRS. SHAREE JULETT WOLFLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 LILAC ST., NULL, BLACKFOOT, ID 83221
(208) 785-9917
Mailing address
674 W 15 S, BLACKFOOT, ID 83221-6184
(509) 222-0675
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
08/09/2021
Last updated
04/30/2024
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