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MARIE SUE MONTGOMERY LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1306876891

Individual Registrant:
 MARIE SUE MONTGOMERY LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
ACP 178-10 WEXFORD TERRACE  JAMAICA ESTATES, NY 11432 US
Tel: 718-658-1123  Fax: 718-658-7091

Contact information for business:
310 W 55 ST STE 4G NEW YORK, NY 10019 US
Tel: 212-765-0791  Fax: --

Registration Information:
NPI: 1306876891
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
NY0715221

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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