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Individual

KRISTEN AMBER HOLCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
179 SW 5TH AVE, MERIDIAN, ID 83642-2995
(208) 367-8282
Mailing address
179 SW 5TH AVE, MERIDIAN, ID 83642-2995
(208) 367-8282

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15474
OR
235Z00000X
Speech-Language Pathologist
Primary
SLP-2371
ID

Other

Enumeration date
11/15/2012
Last updated
09/21/2016
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