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1619355575
MONTY MASSIE
SANTA ROSA, CA
NPI
1619355575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-12
Last Update Date
2015-05-12
Business Address
-- MONTY MASSIE
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
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Mailing Address
-- MONTY MASSIE
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403-3007
Phone number:
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