AMANDA GRACE MONTGOMERY

XENIA, OH
NPI1366173197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-06-22
Last Update Date2022-06-22
Business Address
AMANDA GRACE MONTGOMERY CDCA
515 MARTIN DR
XENIA, OH 45385-1615
Phone number: 937-562-2400
Mailing Address
AMANDA GRACE MONTGOMERY CDCA
580 NEWPORT RD APT 24
XENIA, OH 45385-5237
Phone number: 937-603-6137