Individual
CLAIRE E MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 11TH AVE S STE 155, NAMPA, ID 83651-3946
(208) 466-1077
Mailing address
10094 W EDNA ST, BOISE, ID 83704-4064
(509) 294-9576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-6379
ID
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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