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1588055313
RUSSELL ANTHONY MARTIN
NEW YORK, NY
NPI
1588055313
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Other Name
TONY MARTIN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 091178-1)
Enumeration Date
2015-02-16
Last Update Date
2015-02-16
Business Address
-- RUSSELL ANTHONY MARTIN LMSW
242 BRADHURST AVE APT 22
NEW YORK, NY 10039-1421
Phone number: 646-251-7869
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Mailing Address
-- RUSSELL ANTHONY MARTIN LMSW
242 BRADHURST AVE APT 22
NEW YORK, NY 10039-1421
Phone number: 646-251-7869
Copy
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