Individual
RACHELLE ELAINE MCCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MOUNTAIN VIEW DR, EUREKA, MT 59917-9439
(406) 297-2541
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-9767
MT
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
06/14/2021
Last updated
09/13/2021
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