Individual
TESSA MOECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 E MAIN ST, BOZEMAN, MT 59715-3719
(406) 522-3722
Mailing address
PO BOX 1974, BOZEMAN, MT 59771-1974
(406) 546-4572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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