Individual
LESLIE SPARKUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
230 W MALLARD DR, SUITE A, BOISE, ID 83706-6600
(208) 422-9826
(208) 422-9855
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12125479
ID
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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