Individual
MRS. MARGARET MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
1508 W CAYUSE CREEK DR STE 100, MERIDIAN, ID 83646-6135
(208) 996-0552
(208) 493-9281
Mailing address
1508 W CAYUSE CREEK DR STE 100, MERIDIAN, ID 83646-6135
(208) 996-0552
(208) 493-9281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3402
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-3402
IDAHO BUREAU OF OCCUPATIONAL LICENSING
ID
Enumeration date
06/26/2018
Last updated
06/26/2018
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