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1376970046
LAEL MONTGOMERY
BATON ROUGE, LA
NPI
1376970046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1121)
Enumeration Date
2013-09-26
Last Update Date
2013-09-26
Business Address
-- LAEL MONTGOMERY CAC
2455 WOODDALE BLVD
BATON ROUGE, LA 70805-7569
Phone number: 225-922-3169
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Mailing Address
-- LAEL MONTGOMERY CAC
4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806-5922
Phone number: 225-925-4282
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