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Individual

ELIZABETH STEPAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3525 MERLIN DR, IDAHO FALLS, ID 83404-4952
(208) 216-9448
Mailing address
1660 SHADY PINE DR, IDAHO FALLS, ID 83404-8266

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2081723
ID

Other

Enumeration date
07/14/2026
Last updated
07/14/2026
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