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Individual

MR. GRAHAM MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
135 WESTFIELD CT, 320, CLARKSVILLE, TN 37040-5073
(214) 662-5036
Mailing address
135 WESTFIELD CT, 320, CLARKSVILLE, TN 37040-5073
(214) 662-5036

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
KY

Other

Enumeration date
08/25/2014
Last updated
08/25/2014
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