Individual
JACIE L MELDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 S 3RD ST W, MISSOULA, MT 59801-1332
(406) 214-3131
Mailing address
2321 S 3RD ST W, MISSOULA, MT 59801-1332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-11641
MT
Other
Enumeration date
07/01/2022
Last updated
06/28/2023
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