Individual
MRS. ELAINE RUTH MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
220 S MARKET ST, OPELOUSAS, LA 70570-5140
(337) 948-0226
(337) 948-0399
Mailing address
220 S MARKET ST, OPELOUSAS, LA 70570-5140
(337) 948-0226
(337) 948-0399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RN077372
LA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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