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Organization
MARTIN PROFESSIONAL
Active
Organization
MARTIN PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORSCHE L MARTIN LCSW (PSYCHOTHERAPY AND CONSULTING)
(646) 398-7002
Entity
Organization
Contact information
Practice address
18 E 127TH ST, 1ST FLOOR, NEW YORK, NY 10035-1296
(646) 398-7002
Mailing address
18 E 127TH ST, 1ST FLOOR, NEW YORK, NY 10035-1296
(646) 398-7002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0805481
NY
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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