MARK MARTIN

LAKELAND, FL
NPI1073023024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW15331)
Enumeration Date2017-10-04
Last Update Date2018-05-29
Business Address
MARK MARTIN LCSW
1835 GILMORE AVE
LAKELAND, FL 33805
Phone number: 863-519-0575
Mailing Address
MARK MARTIN LCSW
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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