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Individual

LISA MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3445 SPRING BRANCH TRL APT 163, MELBOURNE, FL 32935-5786
(814) 404-5913
Mailing address
3445 SPRING BRANCH TRL APT 163, MELBOURNE, FL 32935-5786

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005472
PA

Other

Enumeration date
08/19/2021
Last updated
08/19/2021
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