Individual
LINDSEY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
620 S GROVE ST STE 105, MARSHALL, TX 75670-5295
(903) 720-3966
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60640
TX HHS LICENSE
TX
Enumeration date
09/10/2018
Last updated
05/12/2020
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