Jeanie Marie Montgomery, BS, LPN, LAC
NPI #1619438546 in Sturgis, South Dakota
Provider Information
- NPI Number
- 1619438546
- Entity Type
- Individual
- Name
- Jeanie Marie Montgomery, BS, LPN, LAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- BS, LPN, LAC
- Enumeration Date
- Mar 25, 2019
- Last Updated
- Mar 25, 2019
Practice Location
- Address
- 1807 WILLIAMS ST
- City
- Sturgis
- State
- South Dakota
- ZIP Code
- 57785-1142
- Phone
- (605) 642-7093
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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