Individual
MARISSA KILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
7905 N MEADOWLARK WAY STE D, COEUR D ALENE, ID 83815-5041
(208) 618-2593
Mailing address
902 E 1ST AVE, POST FALLS, ID 83854-7012
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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