Individual
KIMBERLEY SUE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
322 N MAIN ST, KOKOMO, IN 46901-4622
(765) 453-8238
Mailing address
322 N MAIN ST, KOKOMO, IN 46901-4622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
254519
KY
1041C0700X
Clinical Social Worker
34007283A
IN
Other
Enumeration date
02/09/2007
Last updated
09/17/2020
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