Individual
SHARON ANN LOSASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/CCC
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2078
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2078
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1433
ID
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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