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1881707883
LISA E MARTIN
PORT HURON, MI
NPI
1881707883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6801083307)
Enumeration Date
2006-08-16
Last Update Date
2009-02-19
Business Address
-- LISA E MARTIN LMSW
520 SUPERIOR ST
PORT HURON, MI 48060-3838
Phone number: 810-984-4202
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Mailing Address
-- LISA E MARTIN LMSW
520 SUPERIOR ST
PORT HURON, MI 48060-3838
Phone number: 810-984-4202
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