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1811444987
WALTRA MONTGOMERY
BRONX, NY
NPI
1811444987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 097294)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- WALTRA MONTGOMERY
329 E 149TH ST
BRONX, NY 10451-5601
Phone number: 718-769-2698
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Mailing Address
-- WALTRA MONTGOMERY
11479 225TH ST
CAMBRIA HEIGHTS, NY 11411-1227
Phone number: 516-244-0799
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