Individual
MS. BREIGH RAINE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
605 HOWARD ST, KALAMAZOO, MI 49008-1919
(269) 343-1651
Mailing address
605 HOWARD ST, KALAMAZOO, MI 49008-1919
(269) 352-8770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094769
MI
1041C0700X
Clinical Social Worker
—
MI
Other
Enumeration date
08/28/2012
Last updated
06/16/2018
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