JUSTIN WADE MONTGOMERY

MAMMOTH SPRING, AR
NPI1265253272
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-10-22
Last Update Date2024-10-22
Business Address
JUSTIN WADE MONTGOMERY QBHP/Case Manager
1355 TATE AVE
MAMMOTH SPRING, AR 72554-8064
Phone number: 870-625-0273
Mailing Address
JUSTIN WADE MONTGOMERY QBHP/Case Manager
PO BOX 1134
MAMMOTH SPRING, AR 72554-1134
Phone number: 870-625-0273
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