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Individual

MR. EARLE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3455 CENTERPOINT DR, URBANCREST, OH 43123
(614) 808-6377
Mailing address
3971 HOOVER RD STE 247, GROVE CITY, OH 43123-2839

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0500252
OH

Other

Enumeration date
03/23/2017
Last updated
11/13/2018
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