Individual
SAVANNAH LECKINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 S UTAH AVE, IDAHO FALLS, ID 83402-3322
(208) 542-7190
Mailing address
3065 CROSS LN, IDAHO FALLS, ID 83401-3429
(208) 680-3105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2644
ID
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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