Individual
MS. KIM K MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3736 EUBANK BLVD NE STE B1, ALBUQUERQUE, NM 87111-3583
(505) 293-2881
(888) 506-2110
Mailing address
PO BOX 91345, ALBUQUERQUE, NM 87199-1345
(505) 507-0862
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-08816
NM
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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