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1518152610
MARK ALAN MONTGOMERY
AUSTIN, TX
NPI
1518152610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 17050)
Enumeration Date
2007-09-11
Last Update Date
2007-09-11
Business Address
Mr. MARK ALAN MONTGOMERY LPC
1011 W 31ST ST SUITE 24
AUSTIN, TX 78705-2099
Phone number: 512-445-7974
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Mailing Address
Mr. MARK ALAN MONTGOMERY LPC
PO BOX 295
WEIR, TX 78674-0295
Phone number: 512-445-7974
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