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1073866117
CHARLES STEVEN MARTIN
CHARLOTTESVILLE, VA
NPI
1073866117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2012-10-25
Last Update Date
2012-10-25
Business Address
-- CHARLES STEVEN MARTIN B.A, QMHP
200 PINERIDGE LN
CHARLOTTESVILLE, VA 22911-9124
Phone number: 434-962-6039
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Mailing Address
-- CHARLES STEVEN MARTIN B.A, QMHP
200 PINERIDGE LN
CHARLOTTESVILLE, VA 22911-9124
Phone number: 434-962-6039
Copy