Individual
KYLEE OKERLUND MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 11TH AVE S # 155, NAMPA, ID 83651-3918
(208) 466-1077
Mailing address
101 11TH AVE S # 155, NAMPA, ID 83651-3918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-4432
ID
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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