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Individual

DR. EDITH RENEE MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
2131 BRYANSTON CRESCENT ST, DETROIT, MI 48207-3883
(313) 801-3270
(313) 567-9855
Mailing address
2131 BRYANSTON CRESCENT ST, DETROIT, MI 48207-3883
(313) 801-3270
(313) 567-9855

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008150
MI

Other

Enumeration date
08/05/2006
Last updated
07/08/2007
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