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Individual

AMY LYNN MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
7525 WARREN SHARON RD, BROOKFIELD, OH 44403-9796
(330) 448-2822
Mailing address
916 LYNITA DR NE, BROOKFIELD, OH 44403-9652
(724) 854-0487

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.175043
OH

Other

Enumeration date
05/13/2021
Last updated
05/13/2021
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