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1093086464
KIVA MONTGOMERY
MEMPHIS, TN
NPI
1093086464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-01-18
Last Update Date
2012-01-18
Business Address
-- KIVA MONTGOMERY B.S.W.
3810 WINCHESTER RD
MEMPHIS, TN 38118-6045
Phone number: 901-369-1420
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Mailing Address
-- KIVA MONTGOMERY B.S.W.
937 BARBARA DR
MEMPHIS, TN 38108-3220
Phone number: 901-323-3049
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