Individual
JESSIE AHNMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
636 LOWER TOM BURKE RD, GALLATIN GATEWAY, MT 59730-8576
(530) 864-4867
Mailing address
636 LOWER TOM BURKE RD, GALLATIN GATEWAY, MT 59730-8576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-8489
MT
Other
Enumeration date
12/30/2019
Last updated
01/14/2020
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