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1093269805
IAN MONTOYA
IRVINE, CA
NPI
1093269805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 95150)
Enumeration Date
2016-08-09
Last Update Date
2024-10-04
Business Address
IAN MONTOYA LCSW
PO BOX 18514
IRVINE, CA 92623-8514
Phone number: 951-743-5519
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Mailing Address
IAN MONTOYA LCSW
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 951-602-4077
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