KELLIE ALYSE GLOCK

POCATELLO, ID
NPI1659780559
Other NameALYSE GLOCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-2603)
Enumeration Date2014-08-05
Last Update Date2014-08-05
Business Address
-- KELLIE ALYSE GLOCK TSLP
1110 CALL CREEK DR
POCATELLO, ID 83201-3001
Phone number: 208-233-4660
Mailing Address
-- KELLIE ALYSE GLOCK TSLP
1110 CALL CREEK DR
POCATELLO, ID 83201-3001
Phone number: 208-233-4660
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