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1184950222
MONTGOMERY INDIVIDUAL AND FAMILY THERAPY, LLC
OWASSO, OK
NPI
1184950222
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Entity Type
Organization
Authorized Contact
AYNGI MONTGOMERY
Owner
918-852-9644
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: OK 4100)
Enumeration Date
2009-10-25
Last Update Date
2009-10-25
Business Address
MONTGOMERY INDIVIDUAL AND FAMILY THERAPY, LLC
10306 N 138TH EAST AVE
OWASSO, OK 74055-4665
Phone number: 918-852-9644
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Mailing Address
MONTGOMERY INDIVIDUAL AND FAMILY THERAPY, LLC
PO BOX 700082
TULSA, OK 74170-0082
Phone number: 918-852-9644
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