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1619318409
MAXINE MONTOYA
EL PASO, TX
NPI
1619318409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 9640)
Enumeration Date
2013-07-09
Last Update Date
2013-07-09
Business Address
-- MAXINE MONTOYA LCDC
1219 BARRANCA DR
EL PASO, TX 79935-4601
Phone number: 915-779-5600
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Mailing Address
-- MAXINE MONTOYA LCDC
1219 BARRANCA DR
EL PASO, TX 79935-4601
Phone number: 915-779-5600
Copy
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