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1134746183
MONTANA MICK
CHARLOTTE, NC
NPI
1134746183
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Professional Name
MONTANA MICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
Ms. MONTANA MICK BSW
1401 E 7TH ST
CHARLOTTE, NC 28204-6300
Phone number: 704-780-4271
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Mailing Address
Ms. MONTANA MICK BSW
580 TYRO RD
LEXINGTON, NC 27295-0618
Phone number: 336-596-4109
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