Individual
MS. AMANDA RUTH MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 PARK PLACE SOUTH SE, ATLANTA, GA 30303-2913
(404) 616-5170
Mailing address
10 PARK PLACE SOUTH SE, ATLANTA, GA 30303-2913
(404) 616-5170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW00005536
GA
Other
Enumeration date
02/08/2016
Last updated
03/02/2016
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