Individual
MRS. KIM HANSON-MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
421 27TH AVE, ASTORIA, NY 11102-4175
(718) 371-7249
(718) 728-3207
Mailing address
6591 162ND ST, 3K, FLUSHING, NY 11365-2666
(917) 817-3234
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
070595-1
NY
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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