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1891274619
PATRICK D MARTIN
CLARKSDALE, MS
NPI
1891274619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
PATRICK D MARTIN MSW
1742 CHERYL ST
CLARKSDALE, MS 38614-7218
Phone number: 662-627-7267
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Mailing Address
PATRICK D MARTIN MSW
PO BOX 1046
CLARKSDALE, MS 38614-1046
Phone number: 662-627-7267
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