Individual
JORDAN ELIZABETH MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Mailing address
213 BERLIN ST, SOUTHINGTON, CT 06489-3839
(860) 919-5654
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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