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1053008169
ANTOINETTE MARIE MARTIN
LOUISVILLE, KY
NPI
1053008169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 282757)
Enumeration Date
2023-04-19
Last Update Date
2024-02-15
Business Address
ANTOINETTE MARIE MARTIN TCADC
9702 STONESTREET RD STE 120
LOUISVILLE, KY 40272-6812
Phone number: 866-934-7450
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Mailing Address
ANTOINETTE MARIE MARTIN TCADC
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 45212-2600
Phone number:
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