Individual
CAILEN DANIELLE BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 S 3RD ST W, MISSOULA, MT 59801-1332
(406) 214-3131
Mailing address
401 HIBERTA ST, MISSOULA, MT 59804-1147
(406) 794-1832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-8818
MT
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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