Individual
JALYNN ALICIA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6300 N REVERE DR STE 270, KANSAS CITY, MO 64151-3919
(913) 735-0577
Mailing address
4214 E 68TH ST, KANSAS CITY, MO 64132-1448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11214
KS
104100000X
Social Worker
Primary
2021028578
MO
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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