Individual
DENISE SPRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486
(208) 664-3450
Mailing address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486
(208) 664-3450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2252
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-2252
BUREAU OF OCCUPATIONAL LICENSES - SPEECH-LANGUAGE PATHOLOGIST
ID
Enumeration date
10/30/2013
Last updated
10/30/2013
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