Sagewood Development Corporation

NPI #1306070362 in Boise, Idaho

Provider Information

NPI Number
1306070362
Entity Type
Organization
Organization Name
Sagewood Development Corporation
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 6, 2009
Last Updated
May 6, 2009

Practice Location

Address
3173 SOUTH BOWN WAY
City
Boise
State
Idaho
ZIP Code
83706
Phone
(208) 433-9152

Authorized Official

Name
LISA WANNER-SISLER
Title
OWNER
Phone
(208) 433-9152

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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