PHYLLIS MONTGOMERY

NAMPA, ID
NPI1316106107
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCSW 712)
Enumeration Date2008-06-05
Last Update Date2008-06-05
Business Address
-- PHYLLIS MONTGOMERY LCSW
323 12TH AVE RD
NAMPA, ID 83686-5014
Phone number: 208-463-0212
Mailing Address
-- PHYLLIS MONTGOMERY LCSW
323 12TH AVE RD
NAMPA, ID 83686-5014
Phone number: 208-463-0212
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