Individual
MRS. JUDITH IRENE MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1111 BRICKYARD RD STE 109, SALT LAKE CITY, UT 84106-2593
(801) 746-4334
(801) 746-4337
Mailing address
1111 BRICKYARD RD STE 109, SALT LAKE CITY, UT 84106-2593
(801) 746-4334
(801) 746-4337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
67569253501
UT
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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