Individual
MRS. KELLY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1833 MILLENIUM WAY, STE. 100, MERIDIAN, ID 83642-1510
(208) 898-1368
Mailing address
1833 MILLENIUM WAY, STE. 100, MERIDIAN, ID 83642-1510
(208) 898-1368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1473
ID
Other
Enumeration date
05/08/2008
Last updated
10/03/2008
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