Individual
SIERRA LUCETTE CLAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1448 E CENTER ST STE G, POCATELLO, ID 83201-4132
(208) 547-7145
Mailing address
1448 E CENTER ST STE G, POCATELLO, ID 83201-4132
(208) 547-7145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-6258
ID
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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