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Individual

MR. DENNIS MICHAEL MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
413 HIGH ST, FALL RIVER, MA 02720-3306
(509) 677-9091
Mailing address
147 VALENTINE ST, FALL RIVER, MA 02720-4223
(508) 677-0983

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106342
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P08357
BLUE CROSS OF MASSACHUSET
MA
Enumeration date
01/01/2007
Last updated
07/08/2007
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