ALISA MARTIN

STEVENSVILLE, MT
NPI1649779000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MT  SLP-SP-LIC-5050)
Enumeration Date2018-02-12
Last Update Date2018-02-12
Business Address
ALISA MARTIN MS CCC-SLP
3702 DIETZ DR
STEVENSVILLE, MT 59870-7136
Phone number: 208-697-2444
Mailing Address
ALISA MARTIN MS CCC-SLP
3702 DIETZ DR
STEVENSVILLE, MT 59870-7136
Phone number: 208-697-2444