Most Relevant Information
Provider Data
| NPI Number: | 1003005166 |
| Provider Name: | MICHAEL ANDREW MONTGOMERY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 7334775-3501 |
Most Important Dates
| Enumeration Date: | 10/15/2007 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
7877 S HIGHWAY 89 # 91
WELLSVILLE
UT
843399416
Practice Location Phone/Fax
| Phone: | 3853887930 |
| Fax: |
Provider Mailing Location
7877 S HIGHWAY 89 # 91
WELLSVILLE
UT
843399416
Provider Mailing Phone/Fax
| Phone: | 3853887930 |
| Fax: |