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Individual
SABRENA MONTGOMERY
Active
Individual
SABRENA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
17506
MD
1041C0700X
Clinical Social Worker
Primary
17506
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098540600
—
MD
05
—
480202100
—
MD
Enumeration date
04/02/2014
Last updated
12/30/2024
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