Individual
KATIE ELWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2127 W OVERLAND RD, BOISE, ID 83705-3149
(208) 321-4898
Mailing address
2127 W OVERLAND RD, BOISE, ID 83705-3149
(208) 321-4898
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-2812
ID
Other
Enumeration date
07/20/2015
Last updated
09/02/2015
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