KARISSA DEANNE MILLER

POCATELLO, ID
NPI1740436302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1670)
Enumeration Date2008-08-14
Last Update Date2008-08-14
Business Address
-- KARISSA DEANNE MILLER
1110 CALL CREEK DR STE 7
POCATELLO, ID 83201-3072
Phone number: 208-410-7670
Mailing Address
-- KARISSA DEANNE MILLER
2510 WOODHILL WAY
POCATELLO, ID 83201-2635
Phone number: 208-410-7670
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