SHANNA LEE STACK

MISSOULA, MT
NPI1346682911
Former NameSHANNA LEE WHITE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MT  SLP-SP-TMP-3159)
Enumeration Date2013-07-24
Last Update Date2022-12-22
Business Address
SHANNA LEE STACK
3031 S RUSSELL ST STE B
MISSOULA, MT 59801-8523
Phone number: 406-396-4130
Mailing Address
SHANNA LEE STACK
3031 S RUSSELL ST STE B
MISSOULA, MT 59801-8523
Phone number: 406-396-4130
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