Individual
LEE FRESHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W LACROSSE AVE, COEUR D ALENE, ID 83814-2403
(208) 664-2185
Mailing address
210 W LACROSSE AVE, COEUR D ALENE, ID 83814-2403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1349
ID
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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