Individual
MRS. AMY SUSAN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1135 FAIRWAY DR, CHILLICOTHE, MO 64601-3566
(660) 646-7305
(660) 646-7305
Mailing address
1135 FAIRWAY DR, CHILLICOTHE, MO 64601-3566
(660) 646-7305
(660) 646-7305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002765
MO
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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