Jackie St Marie, SLP

NPI #1699434639 in Lewiston, Idaho

Provider Information

NPI Number
1699434639
Entity Type
Individual
Name
Jackie St Marie, SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
SLP
Enumeration Date
Dec 16, 2021
Last Updated
Dec 16, 2021

Practice Location

Address
1014 BURRELL AVE
State
Idaho
ZIP Code
83501-5472
Phone
(208) 743-4558

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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