PAUL PHILLIP MARTIN

BALTIMORE, MD
NPI1619742103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MD  AC1841)
Additional Taxonomies103TA0400X Psychologist Addiction (Substance Use Disorder)
Enumeration Date2023-11-15
Last Update Date2023-11-15
Business Address
PAUL PHILLIP MARTIN
140 W WEST ST
BALTIMORE, MD 21230-3739
Phone number: 410-752-4454
Mailing Address
PAUL PHILLIP MARTIN
140 W WEST ST
BALTIMORE, MD 21230-3739
Phone number: 410-752-4454