Individual
ANNELIESE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
708 WESTPORT RD STE 103, ELIZABETHTOWN, KY 42701-2866
(270) 766-1397
(270) 735-9848
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
(419) 695-0004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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