JERRY A MONTGOMERY

LA PORTE, IN
NPI1750456356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34002011A)
Enumeration Date2006-11-21
Last Update Date2008-03-18
Business Address
Mrs. JERRY A MONTGOMERY MSW ACSW LCSW
304 DETROIT ST SUITE A
LA PORTE, IN 46350-2473
Phone number: 219-617-0526
Mailing Address
Mrs. JERRY A MONTGOMERY MSW ACSW LCSW
226 BARKER RD
MICHIGAN CITY, IN 46360
Phone number: 219-617-0526