MILODIE MAE LONG

BOISE, ID
NPI1073969564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  15248)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-2909)
Enumeration Date2016-05-13
Last Update Date2016-05-13
Business Address
Mrs. MILODIE MAE LONG SLP-CCC
901 N CURTIS RD STE. 204
BOISE, ID 83706-1338
Phone number: 208-367-7598
Mailing Address
Mrs. MILODIE MAE LONG SLP-CCC
901 N CURTIS RD STE. 204
BOISE, ID 83706-1338
Phone number: