Individual
MRS. JESSICA STABNAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 KENSINGTON AVE, SUITE 100, MISSOULA, MT 59801-5674
(406) 370-7342
Mailing address
800 KENSINGTON AVE, SUITE 100, MISSOULA, MT 59801-5674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-TMP-3215
MT
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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