Individual
FIA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 NORTHRIDGE TERRACE LN, SPRING, TX 77373-5682
(910) 921-4777
Mailing address
819 NORTHRIDGE TERRACE LN, SPRING, TX 77373-5682
(910) 921-4777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15498099
NA
TX
Enumeration date
06/21/2022
Last updated
06/21/2022
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