Individual
STEPHEN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16244 S MILITARY TRL STE 110, DELRAY BEACH, FL 33484-6505
(561) 865-2550
Mailing address
1414 S PARROTT AVE APT 127, OKEECHOBEE, FL 34974-5276
(904) 254-5578
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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