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1770156291
KEVIN MONTGOMERY
IRONTON, OH
NPI
1770156291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.177113)
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
KEVIN MONTGOMERY
2111 S 7TH ST
IRONTON, OH 45638-2538
Phone number: 740-550-5228
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Mailing Address
KEVIN MONTGOMERY
2111 S 7TH ST
IRONTON, OH 45638-2538
Phone number:
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