Individual
DIAMOND MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9609 S MICHIGAN AVE, CHICAGO, IL 60628-1414
(773) 391-0301
Mailing address
9609 S MICHIGAN AVE, CHICAGO, IL 60628-1414
(773) 391-0301
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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