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1750542544
LARRY W MARTIN
COLUMBIA, SC
NPI
1750542544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-06-24
Last Update Date
2008-06-24
Business Address
-- LARRY W MARTIN
2638 TWO NOTCH RD SUITE 106 INSIGHTS PROGRAM
COLUMBIA, SC 29204-1432
Phone number: 803-898-0204
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Mailing Address
-- LARRY W MARTIN
334 HANBURY DR
COLUMBIA, SC 29203-3013
Phone number: 803-786-2282
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