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Individual
JESSICA MARTIN
Active
Individual
JESSICA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00700
RI
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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