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Organization
PROFESSIONAL COUNSELING
Active
Organization
PROFESSIONAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIE J MARTIN LISW-S (THERAPIST)
(513) 242-4235
Entity
Organization
Contact information
Practice address
10901 REED HARTMAN HWY, SUITE #108, BLUE ASH, OH 45242-2831
(513) 473-3110
Mailing address
10901 REED HARTMAN HWY, SUITE #108, BLUE ASH, OH 45242-2831
(513) 473-3110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L.0003571
OH
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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