Individual
JANIS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3031 S RUSSELL ST STE B, MISSOULA, MT 59801-8523
(406) 396-4130
(406) 797-5008
Mailing address
3031 S RUSSELL ST STE B, MISSOULA, MT 59801-8523
(406) 396-4130
(406) 797-5008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-10687
MT
Other
Enumeration date
08/10/2022
Last updated
09/27/2024
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