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1578873865
MARY J MARTIN
PORT ST LUCIE, FL
NPI
1578873865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 13130)
Enumeration Date
2010-10-20
Last Update Date
2018-07-13
Business Address
MARY J MARTIN
772 SW HIBISCUS ST
PORT ST LUCIE, FL 34983
Phone number: 772-200-1688
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Mailing Address
MARY J MARTIN
772 SW HIBISCUS ST
PORT ST LUCIE, FL 34983-8763
Phone number: 772-200-1688
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