Individual
TYRONE VINCENT MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3622 PROSPECT AVE E, CLEVELAND, OH 44115-2704
(216) 431-4600
Mailing address
3622 PROSPECT AVE E, CLEVELAND, OH 44115-2704
(216) 431-4600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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