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1407344450
ALEX RICHARD MARTIN
PIKETON, OH
NPI
1407344450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
ALEX RICHARD MARTIN cdca
15221 STATE ROUTE 772
PIKETON, OH 45661-9062
Phone number: 740-947-6727
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Mailing Address
ALEX RICHARD MARTIN cdca
1118 TIFFANY DR
REYNOLDSBURG, OH 43068-1767
Phone number: 614-696-3330
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