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Individual

BEVERLY A MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CBIS

Contact information

Practice address
2 MEDICAL CT, SUMTER, SC 29150-4760
(803) 774-4020
(803) 774-4025
Mailing address
250 ROYALL ST, CANTON, MA 02021-1058
(803) 316-3511
(803) 316-3511

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/07/2010
Last updated
05/06/2026
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