Individual
LAREE A HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
945 BROADWATER SQ, BILLINGS, MT 59101-1634
(406) 969-4770
(406) 969-4771
Mailing address
115 AVENUE D, BILLINGS, MT 59101-0644
(406) 969-4770
(406) 969-4771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-TMP-3073
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-SP-TMP-3073
PROFESSIONAL LICENSE
MT
Enumeration date
08/27/2013
Last updated
08/27/2013
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