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Individual

KEISHA DAWN MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
316 E MAIN ST, MOREHEAD, KY 40351-1622
(859) 254-1035
Mailing address
PO BOX 631, SALYERSVILLE, KY 41465-0631
(606) 349-3308

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY

Other

Enumeration date
06/11/2017
Last updated
06/11/2017
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