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Individual

DAVID MICHAEL MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
292 MAIN ST # 257, HARLEYSVILLE, PA 19438-2416
(215) 527-9528
Mailing address
292 MAIN ST # 257, HARLEYSVILLE, PA 19438-2416
(215) 527-9528

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
156F00000X
Technician/Technologist
171W00000X
Contractor
374700000X
Technician
376J00000X
Homemaker

Other

Enumeration date
04/20/2021
Last updated
04/20/2021
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