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1225377864
DEEDRA MONTGOMERY
SUMTER, SC
NPI
1225377864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-02-01
Last Update Date
2013-02-01
Business Address
-- DEEDRA MONTGOMERY
115 N HARVIN ST
SUMTER, SC 29150-4956
Phone number: 803-775-6815
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Mailing Address
-- DEEDRA MONTGOMERY
115 N HARVIN ST
SUMTER, SC 29150-4956
Phone number: 803-775-6815
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