Individual
JOHN CURTIS MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
Mailing address
591 SUMMERHILL DR, MYRTLE BEACH, SC 29579-3117
(843) 347-8888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004349
SC
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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