CASEY DIANNE KINSELLA

BOISE, ID
NPI1699111351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP2392)
Enumeration Date2013-05-21
Last Update Date2013-05-21
Business Address
-- CASEY DIANNE KINSELLA SLP
3169 S BOWN WAY
BOISE, ID 83706-5400
Phone number: 208-433-9152
Mailing Address
-- CASEY DIANNE KINSELLA SLP
3169 S BOWN WAY
BOISE, ID 83706-5400
Phone number: 208-433-9152
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