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NPI Profile for KRISHAWNA E MONTGOMERY in LAFAYETTE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1083987481 |
|
| Status | Active | |
| Credentials | LPC, NCC | |
| Entity | Individual | |
| Enumeration date | 02/15/2012 | |
| Last updated | 07/12/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KRISHAWNA E MONTGOMERY
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KRISHAWNA E MONTGOMERY, LPC, NCC