Individual
KIRSTIN BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1931 S 3RD ST W, MISSOULA, MT 59801-2241
(406) 829-6349
Mailing address
1931 S 3RD ST W, MISSOULA, MT 59801-2241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1324
MT
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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