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1073391991
IRA JAMES MARTIN
MEMPHIS, TN
NPI
1073391991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TN 6562)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
IRA JAMES MARTIN
1331 UNION AVE STE 1000
MEMPHIS, TN 38104-7501
Phone number: 901-459-3391
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Mailing Address
IRA JAMES MARTIN
1667 FARINDALE CV
NESBIT, MS 38651-6208
Phone number: 662-806-8804
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