Individual
ADAM TYLER MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 45TH ST S, FARGO, ND 58103-1189
(347) 230-2820
Mailing address
300 45TH ST S, FARGO, ND 58103-1189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041C0700X
WY
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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