Individual
MADISON HESSE
Active
Sole proprietor
Yes
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
2017 S COVEY PL, MERIDIAN, ID 83642-6573
(509) 989-9911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-5901
ID
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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