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1255548632
MARTIN JOHN GODEK
BAY SHORE, NY
NPI
1255548632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 000091)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Mr. MARTIN JOHN GODEK LMHC
56 W MAIN ST
BAY SHORE, NY 11706-8327
Phone number: 516-770-0001
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Mailing Address
Mr. MARTIN JOHN GODEK LMHC
369 DEER RD
RONKONKOMA, NY 11779-4963
Phone number: 631-981-7616
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