Individual
CHARISSE MICHELLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1274 BAYBROOK CT, BELLEVILLE, IL 62221-7980
(618) 250-7792
Mailing address
1274 BAYBROOK CT, BELLEVILLE, IL 62221-7980
(618) 250-7792
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
123251217
IL
Other
Enumeration date
07/21/2021
Last updated
12/04/2025
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