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1043468341
JOE DAVIS MARTIN
SPRINGFIELD, MO
NPI
1043468341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2001007817)
Enumeration Date
2008-08-29
Last Update Date
2008-08-29
Business Address
-- JOE DAVIS MARTIN LPC
1212 W LOMBARD ST
SPRINGFIELD, MO 65806-2720
Phone number: 417-865-1646
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Mailing Address
-- JOE DAVIS MARTIN LPC
2154 N VICTORIA LN
BROOKLINE STA, MO 65619-9551
Phone number: 417-619-2875
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