Individual
DELORES DEE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 NW 13TH ST, OKLAHOMA CITY, OK 73103-2239
(405) 601-2307
(405) 601-3317
Mailing address
625 NW 13TH ST, OKLAHOMA CITY, OK 73103-2239
(405) 601-2307
(405) 601-3317
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077440A
—
OK
Enumeration date
12/02/2010
Last updated
12/02/2010
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