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1043340391
NIOKA FAWN MONTGOMERY
COLUMBIA, TN
NPI
1043340391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
MRS. NIOKA FAWN MONTGOMERY
6011 TROTWOOD AVE # A
COLUMBIA, TN 38401-7009
Phone number: 931-560-3061
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Mailing Address
MRS. NIOKA FAWN MONTGOMERY
6011 TROTWOOD AVE # A
COLUMBIA, TN 38401-7009
Phone number: 931-560-3061
Copy
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