Individual
MISS KAITLIN MARY COUNTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 VETERAN DR., COLUMBIA FALLS, MT 59912
(406) 892-3256
Mailing address
1161 16TH AVE W, COLUMBIA FALLS, MT 59912-4352
(971) 338-0497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
877-PROV
SD
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-10360
MT
Other
Enumeration date
10/31/2020
Last updated
05/20/2022
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