MARK MARTIN

PROVO, UT
NPI1356316392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  11448098-3501)
Enumeration Date2006-02-22
Last Update Date2020-01-03
Business Address
MARK MARTIN LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
MARK MARTIN LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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