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Individual
MR. MARTY W. BAHE
Active
Individual
MR. MARTY W. BAHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.A.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC - 11443
AZ
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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