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Individual
KATHRYN MARY MONTGOMERY
Active
Individual
KATHRYN MARY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA0100
AZ
235Z00000X
Speech-Language Pathologist
4257
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790928414
NPI
—
Enumeration date
04/10/2009
Last updated
06/15/2018
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