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1639497720
JOHN DERRICK MONFORT
ARCATA, CA
NPI
1639497720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 28973)
Enumeration Date
2010-05-13
Last Update Date
2014-06-16
Business Address
Mr. JOHN DERRICK MONFORT LCSW
785 18TH ST
ARCATA, CA 95521-5683
Phone number: 707-822-2481
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Mailing Address
Mr. JOHN DERRICK MONFORT LCSW
670 9TH STREET SUITE 203
ARCATA, CA 95521-6249
Phone number: 707-826-8633
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