Individual
MRS. SALLY ANN A. CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
329 E CENTRAL AVE, MISSOULA, MT 59801-6914
(406) 542-2295
Mailing address
329 E CENTRAL AVE, MISSOULA, MT 59801-6914
(406) 542-2295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
517
MT
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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