Individual
MARTIN JOSEPH BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5408 ROLAND AVE, BALTIMORE, MD 21210-1900
(410) 864-3629
Mailing address
4210 N CHARLES ST APT 5, BALTIMORE, MD 21218-1041
(443) 438-6775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8717
MD
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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