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1205475522
MIA MARTANS
LIVERPOOL, NY
NPI
1205475522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-03
Last Update Date
2021-08-02
Business Address
MIA MARTANS Counselor
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088-6285
Phone number: 315-453-3911
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Mailing Address
MIA MARTANS Counselor
3774 STATE ROUTE 31 APT 612
LIVERPOOL, NY 13090-1362
Phone number:
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