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1831648666
JASON MONTGOMERY
CHICAGO, IL
NPI
1831648666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.018415)
Enumeration Date
2016-09-21
Last Update Date
2016-09-21
Business Address
-- JASON MONTGOMERY
6958 S KING DR
CHICAGO, IL 60637-4614
Phone number: 708-699-1600
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Mailing Address
-- JASON MONTGOMERY
6958 S KING DR
CHICAGO, IL 60637-4614
Phone number: 708-699-1600
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