Individual
MARY MARTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9650 SANTIAGO RD, SUITE 11, COLUMBIA, MD 21045-3957
(410) 730-2385
Mailing address
7101 RUDISILL CT, APT. 3A, BALTIMORE, MD 21244-3532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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