Individual
BEN ISRAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100
Mailing address
14 POND PLACE LN, CONCORD, NH 03301-3033
(617) 429-5109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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