JENNA L MILLER

TWIN FALLS, ID
NPI1306286695
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-2418)
Enumeration Date2013-07-01
Last Update Date2013-07-01
Business Address
-- JENNA L MILLER SLP-CF
801 POLE LINE RD W STE 3802
TWIN FALLS, ID 83301-5811
Phone number: 208-814-3450
Mailing Address
-- JENNA L MILLER SLP-CF
482 SUNNYSIDE LN
JEROME, ID 83338-5997
Phone number: 208-731-2689
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PRIMARY THERAPY SOURCE LLC