Individual
CAISEEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2275 BRIDGE ST BLDG 5B-132, PHILADELPHIA, PA 19137-1300
(267) 333-3822
Mailing address
1443 S MARSTON ST, PHILADELPHIA, PA 19146-3724
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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