Individual
MRS. KRISTEN WOLFLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
353 S DELPHINIUM AVE, STAR, ID 83669-5276
(208) 409-4597
Mailing address
353 S DELPHINIUM AVE, STAR, ID 83669-5276
(208) 409-4597
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1175
ID
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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