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Individual
BILLY CYRUS MARTIN
Active
Individual
BILLY CYRUS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13791
TX
104100000X
Social Worker
66903
TX
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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