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Organization
PROVIDENCE
Active
Organization
PROVIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA NAKITA JONES-MONTGOMERY BSW, MPA (CASE MANAGER)
(661) 822-8223
Entity
Organization
Contact information
Practice address
43545 KIRKLAND AVE, APT.36, LANCASTER, CA 93535-4668
(661) 948-7830
Mailing address
43545 KIRKLAND AVE, APT.36, LANCASTER, CA 93535-4668
(661) 948-7830
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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