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Individual

LETITIA MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TCADC, MSW

Contact information

Practice address
801 W BROADWAY STE 5, LOUISVILLE, KY 40202-2236
(502) 417-2566
(502) 305-6578
Mailing address
7405 E ORCHARD GRASS BLVD, CRESTWOOD, KY 40014-9075
(502) 296-9842

Taxonomy

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

Other

Enumeration date
05/19/2023
Last updated
05/19/2023
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