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1033556782
TERRY ALLEN MARTIN
BERKELEY, CA
NPI
1033556782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-06-03
Last Update Date
2013-06-03
Business Address
Mr. TERRY ALLEN MARTIN
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
Mr. TERRY ALLEN MARTIN
466 CRESCENT ST 216
OAKLAND, CA 94610-2662
Phone number: 415-235-3818
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