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1164916805
MARK MARTIN
CLEVELAND, OH
NPI
1164916805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.166404)
Enumeration Date
2018-06-17
Last Update Date
2018-06-17
Business Address
MARK MARTIN CDCA.166404
11811 SHAKER BLVD STE 123
CLEVELAND, OH 44120-1927
Phone number: 216-965-6325
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Mailing Address
MARK MARTIN CDCA.166404
828 ARBORETUM CIR
NORTHFIELD, OH 44067-2340
Phone number: 330-348-7808
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