Individual
MARIETTE MILBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
650 MEMORIAL DRIVE, BUILDING #68, POCATELLO, ID 83201
(208) 282-3495
Mailing address
921 S 8TH AVE, POCATELLO, ID 83209-8116
(208) 282-3495
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1688
ID
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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