Individual
BROOKE E MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-2031
Mailing address
4600 3RD ST, MOLINE, IL 61265-6106
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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