Individual
JAMES MONTAVON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LISW
Contact information
Practice address
540 PARK AVE, MIAMISBURG, OH 45342-2854
(937) 865-0011
Mailing address
5212 GREENBUSH CT, DAYTON, OH 45429-5832
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I.0900215
OH
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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