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Individual

MARTIN ALTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
6790 BROAD ST, SUITE 12K, DOUGLASVILLE, GA 30134-1712
(770) 595-6475
Mailing address
6790 BROAD ST, SUITE 12K, DOUGLASVILLE, GA 30134-1712
(770) 595-6475

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LPC007970
GA

Other

Enumeration date
08/04/2015
Last updated
08/04/2015
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