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Individual

MR. MARTIN BENTON PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., LCPC

Contact information

Practice address
1459 POTOMAC AVE, HAGERSTOWN, MD 21742-3315
(240) 513-4551
(410) 848-5629
Mailing address
22 STANFORD RD, HAGERSTOWN, MD 21742-4517
(301) 660-1662

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7553
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306804800
MD
Enumeration date
01/08/2017
Last updated
01/17/2019
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