Individual
TAYLOR NICOLE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 FAIRGROUNDS RD, HAMILTON, MT 59840-3126
(406) 375-0980
Mailing address
1021 MARKET ST UNIT D, CORVALLIS, MT 59828-9111
(406) 224-2412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-LTD-LIC-119
MT
Other
Enumeration date
04/29/2022
Last updated
05/10/2022
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