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MARIE SUE MONTGOMERY LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1306876891
Individual Registrant: MARIE SUE MONTGOMERY LCSW
Gender: F
Not Sole Proprietor
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
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: --
Tel: 212-765-0791 Fax: --
Registration Information:
NPI: 1306876891
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | NY | 0715221 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
