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1255718243
MONTINIQUE MCCALLUM
TUCKER, GA
NPI
1255718243
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Former Name
MONTINIQUE T BENTLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW005691)
Enumeration Date
2015-04-29
Last Update Date
2022-04-12
Business Address
MONTINIQUE MCCALLUM LCSW
200 CRESCENT CENTER PKWY STE 150
TUCKER, GA 30084-7047
Phone number: 404-365-0966
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Mailing Address
MONTINIQUE MCCALLUM LCSW
3495 PIEDMONT RD NE BLDG 9 1ST FLOOR
ATLANTA, GA 30305-1736
Phone number: 404-365-0966
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