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1336489509
ANTINIQUE CHANEL MONTGOMERY
OAKLAND, CA
NPI
1336489509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-25
Last Update Date
2013-02-25
Business Address
Ms. ANTINIQUE CHANEL MONTGOMERY
280 17TH ST
OAKLAND, CA 94612-4124
Phone number: 510-238-5020
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Mailing Address
Ms. ANTINIQUE CHANEL MONTGOMERY
280 17TH ST
OAKLAND, CA 94612-4124
Phone number: 510-238-5020
Copy
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