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1477051126
AVA MONTGOMERY
SHREVEPORT, LA
NPI
1477051126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-01-29
Last Update Date
2018-05-23
Business Address
AVA MONTGOMERY
2920 KNIGHT ST STE 110
SHREVEPORT, LA 71105-2412
Phone number: 318-670-7047
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Mailing Address
AVA MONTGOMERY
2920 KNIGHT ST STE 110
SHREVEPORT, LA 71105-2412
Phone number:
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