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1336205350
JANICE M MARTIN
PORT JEFFERSON, NY
NPI
1336205350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R041079-1)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
-- JANICE M MARTIN LCSW
407 E MAIN ST
PORT JEFFERSON, NY 11777-1866
Phone number: 631-474-2934
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Mailing Address
-- JANICE M MARTIN LCSW
PO BOX 433
PORT JEFFERSON, NY 11777-0433
Phone number: 631-474-2934
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