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1154934180
TARA MONTGOMERY
OAKLAND, CA
NPI
1154934180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
TARA MONTGOMERY
1011 UNION ST
OAKLAND, CA 94607-2236
Phone number: 773-230-1773
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Mailing Address
TARA MONTGOMERY
1011 UNION ST
OAKLAND, CA 94607-2236
Phone number: 773-230-1773
Copy
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