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1801052956
CHINNIU MONTGOMERY
LOS ANGELES, CA
NPI
1801052956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-07-29
Last Update Date
2008-07-29
Business Address
-- CHINNIU MONTGOMERY
1704 W MANCHESTER AVE
LOS ANGELES, CA 90047-3063
Phone number: 323-759-6224
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Mailing Address
-- CHINNIU MONTGOMERY
1538 E KAY ST
COMPTON, CA 90221-1752
Phone number: 310-766-0547
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