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Individual

MRS. NIOKA FAWN MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6011 TROTWOOD AVE # A, COLUMBIA, TN 38401-7009
(931) 560-3061
(931) 560-3062
Mailing address
6011 TROTWOOD AVE # A, COLUMBIA, TN 38401-7009
(931) 560-3061
(931) 560-3062

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/06/2007
Last updated
07/08/2007
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