Individual
STACI MONTGOMERY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 N PARKERSON AVE STE A, CROWLEY, LA 70526-2001
(337) 783-3668
(337) 783-1232
Mailing address
PO BOX 309, CROWLEY, LA 70527-0309
(337) 783-3668
(337) 783-3761
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4564
LA
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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