Individual
MR. ANTHONY RICHARD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSA
Contact information
Practice address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 696-5800
Mailing address
1616 BRAINARD RD, LYNDHURST, OH 44124-3039
(440) 684-9444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0007507SUPV
OH
Other
Enumeration date
03/20/2011
Last updated
03/20/2011
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