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1346490695
MARK MARTIN
ROANOKE, VA
NPI
1346490695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0904007708)
Enumeration Date
2008-09-23
Last Update Date
2018-03-17
Business Address
MARK MARTIN LCSW
5673 AIRPORT RD
ROANOKE, VA 24012-1119
Phone number: 540-523-8080
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Mailing Address
MARK MARTIN LCSW
5673 AIRPORT RD
ROANOKE, VA 24012-1119
Phone number: 540-523-8080
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