MARISSA PETERSON

IDAHO FALLS, ID
NPI1669633590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1685)
Enumeration Date2008-06-23
Last Update Date2009-07-12
Business Address
-- MARISSA PETERSON MA/CCC-SLP
545 LINCOLN DR
IDAHO FALLS, ID 83401-4118
Phone number: 208-757-8553
Mailing Address
-- MARISSA PETERSON MA/CCC-SLP
PO BOX 2943
IDAHO FALLS, ID 83403-2943
Phone number: 208-757-8553
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