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1750517652
LANDON MICHAEL MARTIN
RIVERSIDE, CA
NPI
1750517652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 24786)
Enumeration Date
2009-06-05
Last Update Date
2016-12-05
Business Address
Mr. LANDON MICHAEL MARTIN LCSW
9990 COUNTY FARM RD
RIVERSIDE, CA 92503-3542
Phone number: 951-358-4834
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Mailing Address
Mr. LANDON MICHAEL MARTIN LCSW
12575 12TH ST
YUCAIPA, CA 92399-1938
Phone number: 951-992-3014
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