THOMAS GOSS MILLER GONZALEZ

BOISE, ID
NPI1134895956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-4916)
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
Mr. THOMAS GOSS MILLER GONZALEZ MS, CCC-SLP
101 S ALLUMBAUGH WAY
BOISE, ID 83709-5658
Phone number: 208-323-8888
Mailing Address
Mr. THOMAS GOSS MILLER GONZALEZ MS, CCC-SLP
4934 N MAIDSTONE PL
BOISE, ID 83713-1363
Phone number: 208-891-7184
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