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1164998233
MARTIN EDWARD MONTAGUE
CHEHALIS, WA
NPI
1164998233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP6034314)
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
MARTIN EDWARD MONTAGUE
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
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Mailing Address
MARTIN EDWARD MONTAGUE
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
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