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1801228804
COLLEEN MONTAGUE
MODESTO, CA
NPI
1801228804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA IMF69461)
Enumeration Date
2013-08-01
Last Update Date
2013-08-01
Business Address
-- COLLEEN MONTAGUE MFTI
611 13TH ST
MODESTO, CA 95354-2435
Phone number: 209-550-5874
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Mailing Address
-- COLLEEN MONTAGUE MFTI
100 POPLAR AVE
MODESTO, CA 95354-0510
Phone number: 209-523-4573
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