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1376143255
KATHLEEN GRACE MARTIN
SENECA, SC
NPI
1376143255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
KATHLEEN GRACE MARTIN
209 OCONEE SQUARE DR
SENECA, SC 29678-2546
Phone number: 800-805-6989
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Mailing Address
KATHLEEN GRACE MARTIN
709 COLLEGE AVE
ANDERSON, SC 29621-4067
Phone number:
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