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Individual

LIA MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
817 N CALVERT ST, BALTIMORE, MD 21202-3705
(443) 290-6424
(410) 528-5409
Mailing address
817 N CALVERT ST, BALTIMORE, MD 21202-3705
(443) 290-6424
(410) 528-5409

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2299
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
MD

Other

Enumeration date
08/26/2021
Last updated
08/26/2021
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