Individual
WANDA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7715
(202) 724-7666
Mailing address
2616 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7715
(202) 724-7666
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
DC
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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