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Individual
BERNARD MONTAGUE JR.
Active
Individual
BERNARD MONTAGUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW132374
PA
1041C0700X
Clinical Social Worker
44SC05843300
NJ
Other
Enumeration date
12/21/2015
Last updated
03/30/2020
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