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1376037416
MICHAEL TIMOTHY MARTIN
DURHAM, NC
NPI
1376037416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P012603)
Enumeration Date
2018-06-21
Last Update Date
2018-06-21
Business Address
MICHAEL TIMOTHY MARTIN LCSWA, CSAT-C
1816 FRONT ST
DURHAM, NC 27705-2582
Phone number: 919-382-0288
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Mailing Address
MICHAEL TIMOTHY MARTIN LCSWA, CSAT-C
173 WILLOW RIDGE DR
SANFORD, NC 27332-6903
Phone number: 919-776-6318
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