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1902451560
STEPHEN MONTGOMERY
DELRAY BEACH, FL
NPI
1902451560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
STEPHEN MONTGOMERY
16244 S MILITARY TRL STE 110
DELRAY BEACH, FL 33484-6505
Phone number: 561-865-2550
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Mailing Address
STEPHEN MONTGOMERY
1414 S PARROTT AVE APT 127
OKEECHOBEE, FL 34974-5276
Phone number: 904-254-5578
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