Individual
ELIZABETH A MONTOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1415 E GREEN BAY ST, STE 191, SHAWANO, WI 54166-3879
(715) 526-5466
(715) 526-5545
Mailing address
1415 E GREEN BAY ST, STE 191, SHAWANO, WI 54166-3879
(715) 526-5466
(715) 526-5545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7274123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40925100
—
WI
Enumeration date
10/03/2006
Last updated
03/05/2009
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