Micheal Dean Montgomery, LICSW

NPI #1275344483 in Bemidji, Minnesota

Provider Information

NPI Number
1275344483
Entity Type
Individual
Name
Micheal Dean Montgomery, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Jan 16, 2025
Last Updated
Jan 17, 2025

Practice Location

Address
1741 15TH ST NW
ZIP Code
56601-8755
Phone
(702) 373-0270

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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