Individual
MRS. LAURA ANNE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1027 BELLEVUE AVE STE LL24, SAINT LOUIS, MO 63117-1851
(314) 768-8064
(314) 768-8843
Mailing address
8317 VASEL DR, AFFTON, MO 63123-3637
(314) 768-8064
(314) 768-8843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005054
MO
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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