Individual
MRS. DANIELLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 DORIS RD, AUBURN HILLS, MI 48326-2617
(248) 276-8140
Mailing address
41513 BEDFORD DR, #2, CANTON, MI 48187-3701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803072185
MI
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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