Individual
CLIFFORD MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 WESTBANK EXPY STE 550, HARVEY, LA 70058-4362
(504) 247-9120
(504) 247-9125
Mailing address
1901 WESTBANK EXPY STE 550, HARVEY, LA 70058-4362
(504) 247-9120
(504) 247-9125
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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