Individual
MRS. ALESIA J. HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
13176 W PERSIMMON LN, SUITE 120, BOISE, ID 83713-1986
(208) 376-3591
(208) 376-3594
Mailing address
13176 W PERSIMMON LN, SUITE 120, BOISE, ID 83713-1986
(208) 376-3591
(208) 376-3594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1320
ID
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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