Individual
JERROLD MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 772-7892
(740) 773-1264
Mailing address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 772-7892
(740) 773-1264
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0005085
OH
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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