Individual
DELAYNE MOULTON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, SLP
Contact information
Practice address
3031 S RUSSELL ST STE B, MISSOULA, MT 59801-8523
(406) 396-4130
(406) 797-5008
Mailing address
2500 SCHILLING ST, MISSOULA, MT 59801-7520
(406) 240-8091
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-9647
MT
Other
Enumeration date
03/29/2021
Last updated
12/22/2022
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