Individual
LORETTA BAKER-MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 NORTH ELM STREET, MOUNTAIN VIEW, MO 65548-7109
(417) 934-2273
(417) 934-2332
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003017994
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023210911
—
MO
Enumeration date
06/03/2007
Last updated
03/30/2017
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