Individual
HANNAH NICOLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 MERRILL DR, LITTLE ROCK, AR 72211-1821
(501) 228-0063
Mailing address
405 E 16TH ST, HOPE, AR 71801-8304
(870) 397-4231
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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