Individual
SHAMICIA C MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8255 HALL RD, STE D, UTICA, MI 48317-5528
(248) 972-8205
Mailing address
2050 SOUTH BLVD UNIT 162, BLOOMFIELD HILLS, MI 48303-7007
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451016396
MI
Other
Enumeration date
01/28/2022
Last updated
03/09/2022
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