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Individual

GREG ALLEN MARTIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
BS MHP

Contact information

Practice address
3248 VANDEVER, PEKIN, IL 61554
(309) 347-5522
(309) 347-7302
Mailing address
3248 VANDEVER, PEKIN, IL 61554
(309) 347-5579
(309) 347-7302

Taxonomy

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

Other

Enumeration date
04/20/2006
Last updated
07/08/2007
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