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1174779425
MICHAEL MONTECILLO
GARDENA, CA
NPI
1174779425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 29082)
Enumeration Date
2008-08-18
Last Update Date
2023-07-12
Business Address
MICHAEL MONTECILLO LCSW
1045 W REDONDO BEACH BLVD
GARDENA, CA 90247-4128
Phone number: 233-241-6730
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Mailing Address
MICHAEL MONTECILLO LCSW
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3315
Phone number: 323-241-6825
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