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1841794575
KYLE A MARTIN
ATHENS, OH
NPI
1841794575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 165085)
Enumeration Date
2018-03-19
Last Update Date
2018-06-16
Business Address
KYLE A MARTIN CDCA
10050 BASSETT RD
ATHENS, OH 45701-3626
Phone number: 740-594-8108
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Mailing Address
KYLE A MARTIN CDCA
224 COLUMBUS RD
ATHENS, OH 45701-1334
Phone number: 740-592-6724
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