Individual
LATISHA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
118442202
OH
175T00000X
Peer Specialist
Primary
APS.005242
OH
175T00000X
Peer Specialist
APS00522
OH
Other
Enumeration date
07/15/2024
Last updated
07/16/2024
Update your record
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