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1891207510
KATHRYN DIANNE MARTIN
LOGAN, OH
NPI
1891207510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 111086)
Enumeration Date
2017-11-03
Last Update Date
2017-11-03
Business Address
KATHRYN DIANNE MARTIN LCDCII
12877 GREY ST
LOGAN, OH 43138-9638
Phone number: 740-380-1714
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Mailing Address
KATHRYN DIANNE MARTIN LCDCII
12877 GREY ST
LOGAN, OH 43138-9638
Phone number: 740-380-1714
Copy
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