Individual
CHRISTOPHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
13 TEMPLE ST, QUINCY, MA 02169-5110
(617) 471-8400
Mailing address
PO BOX 505, MARSHFIELD HILLS, MA 02051-0505
(781) 834-7112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1031024
MA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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