Individual
BAILEE G MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 KEENAN ROAD, JACKSON, OH 45640
(740) 876-1889
Mailing address
757 KEENAN ROAD, JACKSON, OH 45640
(740) 876-1889
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S.2207552
OH
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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