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1083117006
CHRYSTAL SHAWNTELLE MONTGOMERY
PASCO, WA
NPI
1083117006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60680229)
Enumeration Date
2018-03-15
Last Update Date
2018-03-15
Business Address
Ms. CHRYSTAL SHAWNTELLE MONTGOMERY CDP
715 W COURT ST
PASCO, WA 99301-4153
Phone number: 509-543-1924
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Mailing Address
Ms. CHRYSTAL SHAWNTELLE MONTGOMERY CDP
715 W COURT ST
PASCO, WA 99301-4153
Phone number: 509-543-1924
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