Individual
MS. ANGELA ELAINE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 FASHION BLVD, HAHNVILLE, LA 70057-2061
(504) 453-7142
Mailing address
110 FASHION BLVD, HAHNVILLE, LA 70057-2061
(504) 453-7142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12080
LA
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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