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1124412150
EMMANUEL MONTENEGRO
OAK HARBOR, WA
NPI
1124412150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60543845)
Enumeration Date
2015-03-27
Last Update Date
2015-03-27
Business Address
-- EMMANUEL MONTENEGRO
31640 STATE ROUTE 20 SUITE 1
OAK HARBOR, WA 98277-3128
Phone number: 360-679-7676
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Mailing Address
-- EMMANUEL MONTENEGRO
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number:
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