KLISS MOULTON

IDAHO FALLS, ID
NPI1023531183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP3225)
Enumeration Date2017-07-20
Last Update Date2017-07-20
Business Address
KLISS MOULTON MS, SLP-CF
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-529-2255
Mailing Address
KLISS MOULTON MS, SLP-CF
3150 SANDY DR
IDAHO FALLS, ID 83401-6012
Phone number: