Individual
MERLE MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
212 CONSTANCE LN APT 4, COLUMBUS, MS 39702-5234
(662) 574-3222
Mailing address
212 CONSTANCE LN APT 4, COLUMBUS, MS 39702-5234
(662) 574-3222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5031
MS
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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