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Individual

MS. DONNA M BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
200 N OREGON ST, DILLON, MT 59725-3624
(406) 683-5105
(406) 683-6388
Mailing address
200 N OREGON ST, DILLON, MT 59725-3624
(406) 683-5105
(406) 683-6388

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1172
MT
235Z00000X
Speech-Language Pathologist
Primary
263543
KY

Other

Enumeration date
05/20/2008
Last updated
04/20/2020
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