Individual
MONTOYIA DENISE MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4949 ARROWHEAD LN, OLIVE BRANCH, MS 38654-6004
(901) 864-1576
Mailing address
1331 UNION AVE, SUITE 1003, MEMPHIS, TN 38104
(901) 273-3485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005922
TN
Other
Enumeration date
08/26/2010
Last updated
08/14/2017
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