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1548885601
EDDIE MONTGOMERY
LITTLE ROCK, AR
NPI
1548885601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-06-14
Last Update Date
2020-06-14
Business Address
Mr. EDDIE MONTGOMERY
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-650-2723
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Mailing Address
Mr. EDDIE MONTGOMERY
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-650-2723
Copy
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