Individual
LAURA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
935 E WINDING CREEK DR, EAGLE, ID 83616-7240
(208) 938-4748
Mailing address
935 E WINDING CREEK DR, EAGLE, ID 83616-7240
(208) 938-4748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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