Organization
STACEY POUND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY M POUND MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(208) 420-2587
Entity
Organization
Contact information
Practice address
479 POLK ST, SUITE B, TWIN FALLS, ID 83301-4850
(208) 733-2661
Mailing address
2726 SAGEBRUSH DR, TWIN FALLS, ID 83301-7501
(208) 420-2587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1243
ID
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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