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Individual

LASHANDA MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5170 E 65TH ST STE 106, INDIANAPOLIS, IN 46220-4992
(317) 986-6755
Mailing address
12683 LARGO DR, FISHERS, IN 46037-8189
(317) 366-8249

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/26/2018
Last updated
11/17/2022
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