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1760145668
KEITH MARTIN
PLATTSBURGH, NY
NPI
1760145668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 112598-01)
Enumeration Date
2021-10-18
Last Update Date
2023-12-14
Business Address
Mr. KEITH MARTIN
80 SHARRON AVE
PLATTSBURGH, NY 12901-4700
Phone number: 518-561-1447
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Mailing Address
Mr. KEITH MARTIN
79 GLENRIDGE RD
GLENVILLE, NY 12302-4528
Phone number: 518-593-7853
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