Individual
JEANIE MARIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LPN, LAC
Contact information
Practice address
1807 WILLIAMS ST, STURGIS, SD 57785-1142
(605) 642-7093
Mailing address
1807 WILLIAMS ST, STURGIS, SD 57785-1142
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
SD
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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