Individual
MRS. CAROLYN S LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD CCC/SLP
Contact information
Practice address
1104 MOUNT ELLIS LANE, BOZEMAN, MT 59715
(406) 223-3298
Mailing address
280 W KAGY BLVD STE D, #241, BOZEMAN, MT 59715-6056
(406) 223-3298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1014
MT
Other
Enumeration date
08/24/2011
Last updated
04/08/2020
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