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1700374907
CARLOS MARTINEZ
HAWTHORNE, CA
NPI
1700374907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 105900)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
CARLOS MARTINEZ
4718 W 136TH ST
HAWTHORNE, CA 90250-5738
Phone number: 310-218-6847
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Mailing Address
CARLOS MARTINEZ
4718 W 136TH ST
HAWTHORNE, CA 90250-5738
Phone number: 310-218-6847
Copy
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