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Individual

MS. CAROL MONTGOMERY-JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LCSW

Contact information

Practice address
2142 PLAINVIEW CENTER, POWHATAN, VA 23139
(804) 598-9105
(804) 598-6379
Mailing address
PO BOX 554, POWHATAN, VA 23139
(804) 598-9105
(804) 598-6379

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005352
VA

Other

Enumeration date
09/11/2007
Last updated
07/16/2008
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