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1972895175
KEOSHA D.V. MONTGOMERY
GASTONIA, NC
NPI
1972895175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-05-05
Last Update Date
2013-01-17
Business Address
Miss KEOSHA D.V. MONTGOMERY M.A., LPCA
635 COX RD
GASTONIA, NC 28054-3424
Phone number: 704-691-7561
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Mailing Address
Miss KEOSHA D.V. MONTGOMERY M.A., LPCA
1425 IVY MEADOW DR APT 1217
CHARLOTTE, NC 28213-9041
Phone number: 704-726-8366
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