Individual
SUSAN S JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
510 N 2ND ST STE 201, BOISE, ID 83702-6078
(208) 489-4999
Mailing address
510 N 2ND ST STE 201, BOISE, ID 83702-6078
(208) 489-4999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1120
ID
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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