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Individual

MCKENZIE ANN BRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CF-SLP

Contact information

Practice address
101 11TH AVE S # 155, NAMPA, ID 83651-3918
(208) 466-1077
(208) 467-2201
Mailing address
6330 W TIERRA LN, BOISE, ID 83704-5011
(678) 675-4165

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/07/2022
Last updated
07/07/2022
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