Individual
MRS. SUSAN H. CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. CCC-SLP
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2688
(208) 677-6530
(208) 677-6306
Mailing address
998 E 200 S, DECLO, ID 83323-5024
(208) 677-6530
(208) 677-6036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1418
ID
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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