Individual
CANDIE RENEE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
61 SAINT MARGARET ST, CHARLESTON, SC 29403-3638
(843) 297-8470
Mailing address
120 HYRNE DR, GOOSE CREEK, SC 29445-7331
(270) 799-5767
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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