Individual
LATANGA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
639 POST ROAD DR, SUITE 1A, STONE MOUNTAIN, GA 30088-2226
(678) 683-5913
Mailing address
639 POST ROAD DR, SUITE 1A, STONE MOUNTAIN, GA 30088-2226
(678) 683-5913
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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