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1124556360
MALLORY A MONTGOMERY
FORT COLLINS, CO
NPI
1124556360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-01
Last Update Date
2017-08-31
Business Address
MALLORY A MONTGOMERY
214 S WHITCOMB ST
FORT COLLINS, CO 80521-2642
Phone number: 970-494-4200
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Mailing Address
MALLORY A MONTGOMERY
125 CRESTRIDGE ST
FORT COLLINS, CO 80525-3934
Phone number: 970-494-4200
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