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Individual

MARTHA PORTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PC

Contact information

Practice address
4400 EUCLID AVE, CLEVELAND, OH 44103-3734
(216) 432-7200
(216) 432-7253
Mailing address
4500 EUCLID AVE, CLEVELAND, OH 44103-3736
(216) 432-7200
(216) 432-7253

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C 1500298 TRNE
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C 1500298 TRNE
STATE LICENSE
OH
Enumeration date
01/20/2016
Last updated
01/20/2016
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