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MRS. Milodie Mae Long, SLP-CCC

NPI #1073969564 in Boise, Idaho

Provider Information

NPI Number
1073969564
Entity Type
Individual
Name
MRS. Milodie Mae Long, SLP-CCC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
SLP-CCC
Enumeration Date
May 13, 2016
Last Updated
May 13, 2016

Practice Location

Address
901 N CURTIS RD
Address 2
STE. 204
City
Boise
State
Idaho
ZIP Code
83706-1338
Phone
(208) 367-7598

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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