ELLEN PETACQUE MONTGOMERY

CHICAGO, IL
NPI1104625805
Professional NameELLEN PETACQUE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149007355)
Enumeration Date2025-03-13
Last Update Date2025-03-13
Business Address
ELLEN PETACQUE MONTGOMERY
1743 N SEDGWICK ST
CHICAGO, IL 60614-5721
Phone number: 312-318-0260
Mailing Address
ELLEN PETACQUE MONTGOMERY
1743 N SEDGWICK ST
CHICAGO, IL 60614-5721
Phone number: 312-318-0260
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