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Organization
MICHAEL MONTIE LCSW LLC
Active
Organization
MICHAEL MONTIE LCSW LLC
Active
Other names
Michael Montie LCSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MONTIE LCSW (OWNER)
(610) 389-4531
Entity
Organization
Contact information
Practice address
280 N PROVIDENCE RD STE 106, MEDIA, PA 19063-3530
(610) 389-4531
Mailing address
1111 BELFIELD AVE., DREXEL HILL, PA 19026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW013107
1295750610
PA
Enumeration date
07/16/2019
Last updated
07/16/2019
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