NPI 1588437933

Mary Lou Montgomery

Practitioner Case Manager/Care Coordinator Cottonwood, AZ

Practice location

Address: 1952 S Manzanita Trl, Cottonwood, AZ 86326-5758
Phone: (928) 772-4131

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 2209959 (AZ)

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Registry record

NPI: 1588437933
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2023
Record last updated: 6 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.