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Individual

ANDREA GELLERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, SLP-CFY

Contact information

Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 385-3269
Mailing address
3253 KINROSS CIR, HERNDON, VA 20171-3318

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-3017
ID

Other

Enumeration date
07/19/2016
Last updated
07/19/2016
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