Individual
MRS. CARMEN MARIE SIDLARUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
775 POLE LINE RD W, SUITE 202, TWIN FALLS, ID 83301-5814
(208) 814-2570
(208) 814-2933
Mailing address
775 POLE LINE RD W, SUITE 202, TWIN FALLS, ID 83301-5814
(208) 814-2570
(208) 814-2933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2268
ID
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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