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1255681276
TIA ELISE MARTIN
DECATUR, AL
NPI
1255681276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904003717)
Enumeration Date
2012-09-17
Last Update Date
2012-09-17
Business Address
Ms. TIA ELISE MARTIN LCSW
911 WHISPERING PINES TRL SW
DECATUR, AL 35603-3201
Phone number: 256-552-7540
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Mailing Address
Ms. TIA ELISE MARTIN LCSW
911 WHISPERING PINES TRL SW
DECATUR, AL 35603-3201
Phone number: 256-552-7540
Copy
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