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Individual

ANGELA M ASP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
331 E PARK ST, WEISER, ID 83672-2053
(208) 549-0206
Mailing address
331 E PARK ST, WEISER, ID 83672-2053
(208) 549-0206
(208) 549-0536

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3198
ID

Other

Enumeration date
08/13/2018
Last updated
08/13/2018
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