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Individual
DR. WILLIAM BRUCE MARTIN
Active
Individual
DR. WILLIAM BRUCE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW,LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I-0010290
OH
1041C0700X
Clinical Social Worker
Primary
34005998A
IN
1041C0700X
Clinical Social Worker
I.0010290SUPV
OH
Other
Enumeration date
03/25/2009
Last updated
11/19/2014
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