Individual
JENNIFER LA MONTAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3001 N 33RD AVE, PHOENIX, AZ 85017-5202
(602) 353-0703
Mailing address
3001 N 33RD AVE, PHOENIX, AZ 85017-5202
(602) 353-0703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-22384
AZ
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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