Individual
MADINAH MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2704 SILVERTREE DR, OKLAHOMA CITY, OK 73120-1744
(405) 640-6617
Mailing address
2704 SILVERTREE DR, OKLAHOMA CITY, OK 73120-1744
(405) 640-6617
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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