Individual
MICAELYN LUREE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
910 COUNTRY SIDE DR, WEBB CITY, MO 64870-1057
(417) 592-4585
Mailing address
910 COUNTRY SIDE DR, WEBB CITY, MO 64870-1057
(417) 592-4585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018032344
MO
235Z00000X
Speech-Language Pathologist
4502
KS
Other
Enumeration date
08/17/2018
Last updated
07/01/2021
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