Individual
MS. TAMMY LABONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED.
Contact information
Practice address
2995 N COLE RD, BOISE, ID 83704-5964
(208) 376-0453
Mailing address
1601 N 7TH ST, BOISE, ID 83702-3736
(208) 830-1190
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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