Individual
JOHN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3199
(541) 968-5769
Mailing address
340 4TH AVE E APT C2, KALISPELL, MT 59901-4972
(541) 968-5769
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-LTD-LIC-111
MT
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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