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Individual
MICHAEL MONTIE
Active
Individual
MICHAEL MONTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005957E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1662862
INDEPENDENCE BLUE CROSS
PA
01
—
2322129000
MHS
PA
01
—
7535562
AETNA
PA
Enumeration date
07/13/2006
Last updated
07/08/2007
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