Individual
KAIJA DAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3031 S RUSSELL ST STE B, MISSOULA, MT 59801-8523
(406) 396-4130
Mailing address
3031 S RUSSELL ST STE B, MISSOULA, MT 59801-8523
(406) 396-4130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-11659
MT
Other
Enumeration date
08/25/2022
Last updated
07/12/2023
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