Individual
ALYSSA MARIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(317) 966-4038
Mailing address
8873 S MEADOW LN, OWENSVILLE, IN 47665-8865
(317) 966-4038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34009708A
IN
Other
Enumeration date
05/24/2022
Last updated
09/08/2023
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