Individual
CAROL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11408 LAKE SHERWOOD AVE N STE A, BATON ROUGE, LA 70816-0421
(225) 261-7143
(225) 250-1026
Mailing address
9976 BREEDEN DR, BATON ROUGE, LA 70811-2157
(225) 447-1952
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/29/2021
Last updated
01/06/2023
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