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1700275856
DORA MONTAGUE
BARTLETT, TN
NPI
1700275856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TN LPC0000003179)
Enumeration Date
2015-01-13
Last Update Date
2015-01-13
Business Address
DORA MONTAGUE LPC
2855 SUMMER OAKS DRIVE
BARTLETT, TN 38134
Phone number: 901-592-7095
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Mailing Address
DORA MONTAGUE LPC
PO BOX 861
SOMERVILLE, TN 38068-0861
Phone number: 901-592-7095
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