Individual
MRS. CHARLETTA S. MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS, BCD
Contact information
Practice address
7855 HOWELL PLACE BLVD, SUITE 330, BATON ROUGE, LA 70807-5256
(225) 774-1120
(225) 358-1496
Mailing address
7855 HOWELL PLACE BLVD, SUITE 330, BATON ROUGE, LA 70807-5256
(225) 774-1120
(225) 358-1496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3994
LA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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