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1356312789
WAYNE A. (INITIAL ONLY) MARTIN
PORTSMOUTH, VA
NPI
1356312789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904000158)
Enumeration Date
2006-02-01
Last Update Date
2007-07-08
Business Address
Mr. WAYNE A. (INITIAL ONLY) MARTIN L.C.S.W.
620 JOHN PAUL JONES CIR OUTPATIENT PSYCHIATRY CLINIC, NMCP
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-5269
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Mailing Address
Mr. WAYNE A. (INITIAL ONLY) MARTIN L.C.S.W.
1827 LONGDALE DR
NORFOLK, VA 23518-4943
Phone number: 757-953-5269
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