Individual
GULMIRA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2875 EYDE PKWY STE 100, EAST LANSING, MI 48823-5431
(844) 969-0252
Mailing address
2875 EYDE PKWY STE 100, EAST LANSING, MI 48823-5431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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