Individual
ERICA JANEL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N TELEGRAPH RD BLDG 32E, PONTIAC, MI 48341-1032
(248) 451-3743
Mailing address
26953 N MONROE DR, SOUTHFIELD, MI 48034-5687
(248) 914-5165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801101244
MI
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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