Individual
JEFFREY A MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
(740) 789-9518
Mailing address
564 MILL PARK DR, LANCASTER, OH 43130-7744
(740) 687-9389
(740) 689-9518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I5882
OH
Other
Enumeration date
01/02/2007
Last updated
10/20/2010
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