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1174993075
GLENN MARTIN
MONROE, LA
NPI
1174993075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 3224)
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
Dr. GLENN MARTIN LPC
2414 FERRAND ST 1
MONROE, LA 71201-3249
Phone number: 318-325-0072
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Mailing Address
Dr. GLENN MARTIN LPC
2414 FERRAND ST 1
MONROE, LA 71201-3249
Phone number: 318-325-0072
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