Provider Information for 1265846059
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ELISABETH BENOIT MONTGOMERY LCSW
Sex: Female
NPI: 1265846059
Last Updated: 2021-04-26
Certification Date: 2021-04-26
Certification Date: 2021-04-26
Details
| Name | Value | ||||||||
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| NPI | 1265846059 | ||||||||
| Enumeration Date | 2014-06-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2606 FREEMAN CT ERIE, CO 80516-7511 United States Phone: 616-481-4689 | Fax: | ||||||||
| Primary Practice Address | 2100 BROADWAY DENVER, CO 80205-2526 United States Phone: 303-293-2220 | Fax: | ||||||||
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