Individual
JESSICA DILWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
152 E MAIN ST STE 110, RIGBY, ID 83442-5268
(208) 745-7101
Mailing address
152 E MAIN ST STE 110, RIGBY, ID 83442-5268
(208) 745-7101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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